MEDICARE: ERIC MATTHEW 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	106S00000X	Behavior Technician	RBT-25-472355	FL

General Provider Information

NPI Number	:	1841162450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC MATTHEW RAMIREZ

Provider Business Mailing Address
First Line	:	110 TAMIAMI CANAL RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2541
Country	:	US
Telephone Number	:	786-519-5451
Fax Number	:

Provider Business Practice Location Address
First Line	:	6117 NW SWEETWOOD DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-5855
Country	:	US
Telephone Number	:	786-519-5451
Fax Number	:

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

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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