Healthcare Provider Details

I. General information

NPI: 1346126976
Provider Name (Legal Business Name): YEIMI RODRIGUEZ RAMIREZ MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 WHITE PLAINS RD
BRONX NY
10467-8112
US

IV. Provider business mailing address

36 ROSENBROOK DR
LINCOLN PARK NJ
07035-1938
US

V. Phone/Fax

Practice location:
  • Phone: 212-923-2191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YEIMI RAMIREZ RODRIGUEZ
Title or Position: OWNER
Credential: MD
Phone: 347-859-0950