Healthcare Provider Details

I. General information

NPI: 1649332826
Provider Name (Legal Business Name): JERONIMO J RAMIREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 NE 9TH CT
HOMESTEAD FL
33033-4724
US

IV. Provider business mailing address

7510 SW 88TH PL
MIAMI FL
33173-3541
US

V. Phone/Fax

Practice location:
  • Phone: 786-446-2010
  • Fax: 786-446-2025
Mailing address:
  • Phone: 786-596-5387
  • Fax: 786-275-8403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberME0075180
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME75180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: