MEDICARE: RAFAEL A RAMIREZ-CAUSSADE 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	207L00000X	Anesthesiology Physician	ME51881	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	:	1356306401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL A RAMIREZ-CAUSSADE MD

Provider Business Mailing Address
First Line	:	4631 NW 31ST AVENUE #127
Second Line	:	C/O ANESCO ANESTHESIA ASSOCIATES INC
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309
Country	:	US
Telephone Number	:	954-485-5666
Fax Number	:	954-484-1651

Provider Business Practice Location Address
First Line	:	5757 NORTH DIXIE HIGHWAY
Second Line	:	C/O NORTH RIDGE MEDICAL CENTER
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334
Country	:	US
Telephone Number	:	954-735-6000
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/27/2008

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