MEDICARE: RICARDO ISMAEL PALMEROLA 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	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	ME140801	FL
2	208800000X	Urology Physician	ME140801	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	:	1215295639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO ISMAEL PALMEROLA M.D.

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	:	305-243-6090
Fax Number	:

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	:	305-243-6090
Fax Number	:

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

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	12/09/2025

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