MEDICARE: YURI J RAMOS

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	174400000X	Specialist	ME96924	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	:	1508221524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YURI J RAMOS

Provider Business Mailing Address
First Line	:	777 E 25TH ST
Second Line	:	SUITE 214
City	:	HIALEAH
State	:	FL
Zip	:	33013-3825
Country	:	US
Telephone Number	:	305-702-9441
Fax Number	:	305-702-9442

Provider Business Practice Location Address
First Line	:	19500 W OAKMONT DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2031
Country	:	US
Telephone Number	:	305-702-9441
Fax Number	:	305-702-9442

Authorized Official
Title or Position	:	BILLING COMPANY OWNER
Name	:	MARISOL MARTINEZ
Credential	:
Telephone Number	:	305-702-9441

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	02/11/2026

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Directions to “YURI J RAMOS ” Practice Location

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