Healthcare Provider Details

I. General information

NPI: 1679841233
Provider Name (Legal Business Name): MARIBEL RAMOS-SEPULVEDA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6710 BULL RUN RD
MIAMI LAKES FL
33014-8100
US

IV. Provider business mailing address

6710 BULL RUN RD
MIAMI LAKES FL
33014-8100
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-2662
  • Fax: 305-821-2132
Mailing address:
  • Phone: 787-671-2864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS68916
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: