Healthcare Provider Details

I. General information

NPI: 1770277386
Provider Name (Legal Business Name): LUIS ENRIQUE GARCED RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7477 SANDLAKE COMMONS BLVD
ORLANDO FL
32819-8034
US

IV. Provider business mailing address

6917 WITTS WAY
CORPUS CHRISTI TX
78414-2213
US

V. Phone/Fax

Practice location:
  • Phone: 407-264-9633
  • Fax:
Mailing address:
  • Phone: 305-546-0502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1112020
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11025090
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: