Healthcare Provider Details

I. General information

NPI: 1881607661
Provider Name (Legal Business Name): RAMON A GUEVARA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CRANDON BLVD SUITE 212
KEY BISCAYNE FL
33149-1543
US

IV. Provider business mailing address

240 CRANDON BLVD SUITE 212
KEY BISCAYNE FL
33149-1543
US

V. Phone/Fax

Practice location:
  • Phone: 305-361-6232
  • Fax: 305-365-0031
Mailing address:
  • Phone: 305-361-6232
  • Fax: 305-365-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberOS6587
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS6587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: