Healthcare Provider Details

I. General information

NPI: 1326444803
Provider Name (Legal Business Name): AIDETTE FLORIMON RAMIREZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MONTVALE AVE STE 4200
STONEHAM MA
02180-3655
US

IV. Provider business mailing address

92 MONTVALE AVE STE 4200
STONEHAM MA
02180-3655
US

V. Phone/Fax

Practice location:
  • Phone: 781-451-0072
  • Fax: 781-435-0792
Mailing address:
  • Phone: 781-451-0072
  • Fax: 781-435-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number271505
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: