MEDICARE: DR. RALPH G NADER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME57955	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023011970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH G NADER MD

Provider Business Mailing Address
First Line	:	5555 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2513
Country	:	US
Telephone Number	:	305-585-6683
Fax Number	:	305-324-6012

Provider Business Practice Location Address
First Line	:	5555 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2513
Country	:	US
Telephone Number	:	305-585-6683
Fax Number	:	305-324-6012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/03/2025

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