Healthcare Provider Details

I. General information

NPI: 1568166221
Provider Name (Legal Business Name): ALVARO LEWIS RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 ANNE ST NW
BEMIDJI MN
56601-5103
US

IV. Provider business mailing address

900 BISCAYNE BLVD APT 2212
MIAMI FL
33132-1564
US

V. Phone/Fax

Practice location:
  • Phone: 877-629-2999
  • Fax:
Mailing address:
  • Phone: 503-481-1745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME180079
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: