MEDICARE: MARIA RAMOS

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1164513032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA RAMOS

Provider Business Mailing Address
First Line	:	11474 SW 183RD TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-4994
Country	:	US
Telephone Number	:	786-270-4780
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 W 24TH AVE STE 9
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1880
Country	:	US
Telephone Number	:	305-824-9924
Fax Number	:

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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Directions to “ MARIA RAMOS ” Practice Location

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