Healthcare Provider Details

I. General information

NPI: 1497765200
Provider Name (Legal Business Name): RAMON ALBERTO DEJESUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 NE 9TH ST STE 300
FT LAUDERDALE FL
33304-3590
US

IV. Provider business mailing address

2320 NE 9TH ST STE 300
FT LAUDERDALE FL
33304-3590
US

V. Phone/Fax

Practice location:
  • Phone: 954-563-4500
  • Fax: 954-530-0399
Mailing address:
  • Phone: 954-563-4500
  • Fax: 954-530-0399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberD0058273
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME181471
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberD0058723
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberD0058273
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101274086
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101274086
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberD58273
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number0101274086
License Number StateVA
# 9
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number0101274086
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: