Healthcare Provider Details

I. General information

NPI: 1942612767
Provider Name (Legal Business Name): TOMAS A. RAMIREZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 03/09/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20001 SW 127TH AVE
MIAMI FL
33177-5118
US

IV. Provider business mailing address

6100 BLUE LAGOON DR SUITE 365
MIAMI FL
33126-2079
US

V. Phone/Fax

Practice location:
  • Phone: 305-406-2069
  • Fax: 786-577-4381
Mailing address:
  • Phone: 786-322-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9294362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: