Healthcare Provider Details

I. General information

NPI: 1972586295
Provider Name (Legal Business Name): CARLOS M. RAMIREZ-CALDERON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9085 SW 87TH AVE STE 201
MIAMI FL
33176-2309
US

IV. Provider business mailing address

9085 SW 87TH AVE STE 201
MIAMI FL
33176-2309
US

V. Phone/Fax

Practice location:
  • Phone: 305-412-6363
  • Fax: 305-412-1923
Mailing address:
  • Phone: 305-412-6363
  • Fax: 305-412-1923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME47383
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: