MEDICARE: RYAN KIRWAN 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	2085R0202X	Diagnostic Radiology Physician	ME176261	FL

General Provider Information

NPI Number	:	1497965768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN KIRWAN M.D.

Provider Business Mailing Address
First Line	:	1115 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2106
Country	:	US
Telephone Number	:	305-243-5512
Fax Number	:	305-243-4613

Provider Business Practice Location Address
First Line	:	1115 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2106
Country	:	US
Telephone Number	:	305-243-5512
Fax Number	:	305-243-4613

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2025

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