Healthcare Provider Details

I. General information

NPI: 1730621251
Provider Name (Legal Business Name): MARIANNE RAMIREZ CABRERA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 12/21/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST FL 4
MIAMI FL
33136-2137
US

IV. Provider business mailing address

1150 NW 14TH ST FL 4
MIAMI FL
33136-2137
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-5505
  • Fax: 305-243-7096
Mailing address:
  • Phone: 305-243-5505
  • Fax: 305-243-7096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11007571
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11007571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: