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NPI Code Detail

MEDICARE: RAMAVEN MEDICAL, INC.

MEDICARE: RAMAVEN MEDICAL, INC.
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
1261QH0100XHealth Service Clinic/Center5007FL

General Provider Information

NPI Number : 1619179272
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAMAVEN MEDICAL, INC.
Provider Business Mailing Address
First Line : 4355 W 16TH AVE STE 212
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7666
Country : US
Telephone Number : 305-823-5859
Fax Number : 305-823-5818
Provider Business Practice Location Address
First Line : 4355 W 16TH AVE STE 212
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7666
Country : US
Telephone Number : 305-823-5859
Fax Number : 305-823-5818
Authorized Official
Title or Position : PRESIDENT
Name : MR. RAYDEN E MARTINEZ
Credential :
Telephone Number : 305-823-5859
Provider Enumeration Date : 06/04/2007
Last Update Date : 08/22/2020

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Directions to “RAMAVEN MEDICAL, INC. ” Practice Location

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