1710171988 NPI number — DR. ANGELICA RAMIREZ MD

Table of content: DR. ANGELICA RAMIREZ MD (NPI 1710171988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710171988 NPI number — DR. ANGELICA RAMIREZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ
Provider First Name:
ANGELICA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710171988
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7301A W PALMETTO PARK RD STE 301A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33433-3466
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-392-6226
Provider Business Mailing Address Fax Number:
561-391-7832

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
880 NW 13TH ST
Provider Second Line Business Practice Location Address:
SUITE 3B
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33486-2342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-392-6226
Provider Business Practice Location Address Fax Number:
561-391-7832
Provider Enumeration Date:
08/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME112537 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1524276 . This is a "COVENTRY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 14L73 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1710171988 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 3143160 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 9023118 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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