Healthcare Provider Details

I. General information

NPI: 1841724333
Provider Name (Legal Business Name): FATIMA ANGELICA RAMIREZ-CUEVA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FATIMA ANGELICA AFRICA RAMIREZ-CUEVA DO

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-0006
US

IV. Provider business mailing address

PO BOX 100186
GAINESVILLE FL
32610-0186
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-5911
  • Fax:
Mailing address:
  • Phone: 352-265-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number85908
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number85908
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberOS21304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: