MEDICARE: MR. RAFAEL RAMIREZ CRNA

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	367500000X	Certified Registered Nurse Anesthetist	APRN9318131	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114217312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAFAEL RAMIREZ CRNA

Provider Business Mailing Address
First Line	:	3512 SW 93RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-1746
Country	:	US
Telephone Number	:	787-455-0964
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 SW 93RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-1746
Country	:	US
Telephone Number	:	787-455-0964
Fax Number	:

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

Provider Enumeration Date	:	04/10/2011
Last Update Date	:	10/17/2023

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