Healthcare Provider Details

I. General information

NPI: 1265787915
Provider Name (Legal Business Name): RAMIRO ALVAREZ DIAZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 CORAL WAY STE 214
MIAMI FL
33155-1452
US

IV. Provider business mailing address

7235 CORAL WAY SUITE 214
MIAMI FL
33155-1452
US

V. Phone/Fax

Practice location:
  • Phone: 305-200-3570
  • Fax: 305-392-0714
Mailing address:
  • Phone: 305-200-3570
  • Fax: 305-392-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME121242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: