Healthcare Provider Details

I. General information

NPI: 1942810957
Provider Name (Legal Business Name): MARLON RICARDO PARRA RAMIREZ NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 NW 36TH ST STE 501
DORAL FL
33166-6688
US

IV. Provider business mailing address

333 NE 24TH ST APT 102
MIAMI FL
33137-4860
US

V. Phone/Fax

Practice location:
  • Phone: 305-831-2358
  • Fax: 645-654-0920
Mailing address:
  • Phone: 786-274-9441
  • Fax: 305-848-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11008334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: