Healthcare Provider Details

I. General information

NPI: 1619338985
Provider Name (Legal Business Name): RICARDO JAVIER RAMIREZ MSN, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 73RD ST 2ND FLOOR
SOUTH MIAMI FL
33143-4679
US

IV. Provider business mailing address

9655 S DIXIE HWY SUITE 201
MIAMI FL
33156-2813
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-0823
  • Fax: 305-740-0853
Mailing address:
  • Phone: 305-740-0823
  • Fax: 305-740-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9221309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: