Healthcare Provider Details

I. General information

NPI: 1174873244
Provider Name (Legal Business Name): LUIS G RAMIREZ M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9035 SW 72ND ST STE 104
MIAMI FL
33173-3441
US

IV. Provider business mailing address

9035 SW 72ND ST STE 104
MIAMI FL
33173-3441
US

V. Phone/Fax

Practice location:
  • Phone: 305-830-0551
  • Fax: 786-298-5081
Mailing address:
  • Phone: 305-830-0551
  • Fax: 786-298-5081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME107667
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME107667
License Number StateFL

VIII. Authorized Official

Name: LUIS G RAMIREZ BRACHO
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 917-216-7759