Healthcare Provider Details
I. General information
NPI: 1457282097
Provider Name (Legal Business Name): RAMIREZ PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
922 SW 148TH PL
MIAMI FL
33194-2917
US
IV. Provider business mailing address
922 SW 148TH PL
MIAMI FL
33194-2917
US
V. Phone/Fax
- Phone: 786-661-3900
- Fax: 786-590-1668
- Phone: 786-661-3900
- Fax: 786-590-1668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ILLOVIS
MARIA
RAMIREZ ARTEAGA
Title or Position: FAMILY NURSE PRACTITIONER
Credential: APRN
Phone: 786-661-3900