Healthcare Provider Details

I. General information

NPI: 1487284923
Provider Name (Legal Business Name): AMANDA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SW 22ND ST STE 405
MIAMI FL
33145-2657
US

IV. Provider business mailing address

2100 SW 22ND ST STE 405
MIAMI FL
33145-2657
US

V. Phone/Fax

Practice location:
  • Phone: 757-971-0808
  • Fax:
Mailing address:
  • Phone: 305-381-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI5942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: