Healthcare Provider Details

I. General information

NPI: 1316879851
Provider Name (Legal Business Name): ARMANDO RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ATLANTIC AVE
ST AUGUSTINE FL
32084-2102
US

IV. Provider business mailing address

5 ATLANTIC AVE
ST AUGUSTINE FL
32084-2102
US

V. Phone/Fax

Practice location:
  • Phone: 904-657-4115
  • Fax:
Mailing address:
  • Phone: 904-657-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: