Healthcare Provider Details

I. General information

NPI: 1982044657
Provider Name (Legal Business Name): DIANA CAROLINA RAMIREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 S CONGRESS AVE STE B
PALM SPRINGS FL
33461-2553
US

IV. Provider business mailing address

2135 S CONGRESS AVE SUITE 3C
PALM SPRINGS FL
33406
US

V. Phone/Fax

Practice location:
  • Phone: 561-360-2034
  • Fax: 561-360-2650
Mailing address:
  • Phone: 561-360-2034
  • Fax: 561-360-2650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME127105
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: