Healthcare Provider Details

I. General information

NPI: 1043085517
Provider Name (Legal Business Name): ERNESTO ALFREDO RAMOS SR. APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6280 SUNSET DR STE 501
SOUTH MIAMI FL
33143-4870
US

IV. Provider business mailing address

11245 SW 47TH TER
MIAMI FL
33165-5551
US

V. Phone/Fax

Practice location:
  • Phone: 305-671-3447
  • Fax: 305-671-3739
Mailing address:
  • Phone: 201-898-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11029735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: