Healthcare Provider Details

I. General information

NPI: 1063328052
Provider Name (Legal Business Name): RAMIR LELIAH MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 E 79TH ST
CLEVELAND OH
44103-2864
US

IV. Provider business mailing address

2096 MIRAMAR BLVD
SOUTH EUCLID OH
44121-3169
US

V. Phone/Fax

Practice location:
  • Phone: 216-838-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number512861
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: