Healthcare Provider Details

I. General information

NPI: 1407145303
Provider Name (Legal Business Name): MISAEL O RAMIREZ RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SPRUCE ST OPERATING ROOM, 3B ORTHOPAEDICS
PHILADELPHIA PA
19107-6130
US

IV. Provider business mailing address

800 SPRUCE ST OPERATING ROOM, 3B ORTHOPAEDICS
PHILADELPHIA PA
19107-6130
US

V. Phone/Fax

Practice location:
  • Phone: 215-829-3294
  • Fax:
Mailing address:
  • Phone: 215-829-3294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN555965
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: