Healthcare Provider Details

I. General information

NPI: 1831693126
Provider Name (Legal Business Name): YUSLEIBY SANZO RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 SW 74TH ST STE 211
MIAMI FL
33143-5150
US

IV. Provider business mailing address

3100 SW 62ND AVE FL 33155
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 786-228-6892
  • Fax: 786-414-3622
Mailing address:
  • Phone: 305-662-8357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME151080
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME151080
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: