Healthcare Provider Details

I. General information

NPI: 1417883893
Provider Name (Legal Business Name): JESSICA MARIA AGUILAR RAMIREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 NE 214TH ST
MIAMI FL
33180-1268
US

IV. Provider business mailing address

11276 SW 9TH CT
PEMBROKE PINES FL
33025-4304
US

V. Phone/Fax

Practice location:
  • Phone: 786-979-4993
  • Fax:
Mailing address:
  • Phone: 786-227-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11048902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: