MEDICARE: ANGELINE RAMIREZ

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	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1285227785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELINE RAMIREZ

Provider Business Mailing Address
First Line	:	PO BOX 212431
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33421-2431
Country	:	US
Telephone Number	:	561-267-1245
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 S SAPODILLA AVE STE 204
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5208
Country	:	US
Telephone Number	:	561-267-1245
Fax Number	:

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

Provider Enumeration Date	:	02/16/2021
Last Update Date	:	02/16/2021

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Directions to “ ANGELINE RAMIREZ ” Practice Location

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