MEDICARE: PEDRO M. RAMIREZ MD PLLC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	207T00000X	Neurological Surgery Physician

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	:	1588127047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDRO M. RAMIREZ MD PLLC

Provider Business Mailing Address
First Line	:	978 INTERNATIONAL PKWY STE 1440
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	978 INTERNATIONAL PKWY STE 1440
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5233
Country	:	US
Telephone Number	:	407-624-5028
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	PEDRO MIGUEL RAMIREZ
Credential	:
Telephone Number	:	407-624-5028

Provider Enumeration Date	:	04/11/2019
Last Update Date	:	04/17/2019

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