Healthcare Provider Details

I. General information

NPI: 1669440632
Provider Name (Legal Business Name): ALEXIES RAMIREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8045 SPYGLASS HILL RD STE 105
MELBOURNE FL
32940-8567
US

IV. Provider business mailing address

PO BOX 410054
MELBOURNE FL
32941-0054
US

V. Phone/Fax

Practice location:
  • Phone: 321-234-1704
  • Fax: 855-592-3284
Mailing address:
  • Phone: 321-234-1704
  • Fax: 855-592-3284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME84371
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: