MEDICARE: MR. RAMON HECHAVARRIA MD PA

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	207V00000X	Obstetrics & Gynecology Physician	ME0036672	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	:	1548343551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMON HECHAVARRIA MD PA

Provider Business Mailing Address
First Line	:	PO BOX 172567
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33017-2567
Country	:	US
Telephone Number	:	305-823-2233
Fax Number	:	305-823-5238

Provider Business Practice Location Address
First Line	:	241 E 49TH ST
Second Line	:	RAMON HECHAVARRIA MD PA
City	:	HIALEAH
State	:	FL
Zip	:	33013-1854
Country	:	US
Telephone Number	:	305-823-2233
Fax Number	:	305-823-5238

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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