MEDICARE: DR. RAMON E GALLEGO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME32716	FL
2	207ND0900X	Dermatopathology Physician	ME32716	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME32716	OTHER	FL	MEDICAL LISC

General Provider Information

NPI Number	:	1013960830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON E GALLEGO MD

Provider Business Mailing Address
First Line	:	1874 W HILLSBORO BLVD
Second Line	:	SUITE H
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1417
Country	:	US
Telephone Number	:	954-360-9582
Fax Number	:	954-426-4533

Provider Business Practice Location Address
First Line	:	1874 W HILLSBORO BLVD
Second Line	:	SUITE H
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1417
Country	:	US
Telephone Number	:	954-360-9582
Fax Number	:	954-426-4533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/11/2025

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