Healthcare Provider Details

I. General information

NPI: 1932138732
Provider Name (Legal Business Name): RAMON CARDOSO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 W FLAGLER ST
MIAMI FL
33144-2028
US

IV. Provider business mailing address

2451 BRICKELL AVE 7A
MIAMI FL
33129-2436
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-5974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME91768
License Number StateFL

VIII. Authorized Official

Name: RAMON CARDOSO
Title or Position: PRESIDENT
Credential: MD
Phone: 786-314-5422