Healthcare Provider Details

I. General information

NPI: 1881953701
Provider Name (Legal Business Name): HERNAN DARIO OSORNO RAMIREZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2012
Last Update Date: 05/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 EAST AVE
WEST PALM BEACH FL
33407-2387
US

IV. Provider business mailing address

5300 EAST AVE
WEST PALM BEACH FL
33407-2387
US

V. Phone/Fax

Practice location:
  • Phone: 561-273-2203
  • Fax: 561-863-2806
Mailing address:
  • Phone: 561-273-2203
  • Fax: 561-863-2806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME122773
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: