Healthcare Provider Details

I. General information

NPI: 1285769091
Provider Name (Legal Business Name): GLORIA RAMOS-AWAL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 786-624-2490
  • Fax: 786-624-5790
Mailing address:
  • Phone: 786-624-2490
  • Fax: 786-624-5790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2171992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: