Healthcare Provider Details

I. General information

NPI: 1053230219
Provider Name (Legal Business Name): ALIS M RAMIREZ SABORIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 FRONT ST OFC 1
KEY WEST FL
33040-6658
US

IV. Provider business mailing address

6881 NW 179TH ST APT 203
HIALEAH FL
33015-7456
US

V. Phone/Fax

Practice location:
  • Phone: 786-238-5931
  • Fax:
Mailing address:
  • Phone: 305-305-6102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT26548359
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: