Healthcare Provider Details

I. General information

NPI: 1811108921
Provider Name (Legal Business Name): STEFANIE JULISSA TORRES RAMIREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON STREET 3RD FLOOR
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

2900 CORPORATE WAY STE D
MIRAMAR FL
33025
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-9976
  • Fax: 954-965-5396
Mailing address:
  • Phone: 954-276-5572
  • Fax: 954-985-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME121683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: