MEDICARE: RAMON MOREDA M.D.

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	207RR0500X	Rheumatology Physician	051850	FL
2	207RR0500X	Rheumatology Physician	ME51850	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	:	1205925401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMON MOREDA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 141219
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33114-1219
Country	:	US
Telephone Number	:	305-442-1031
Fax Number	:	305-448-6254

Provider Business Practice Location Address
First Line	:	747 PONCE DE LEON BLVD STE 502
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2073
Country	:	US
Telephone Number	:	305-442-1031
Fax Number	:	305-448-6254

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/07/2024

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Directions to “ RAMON MOREDA M.D.” Practice Location

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