Provider Demographics
NPI:1003922816
Name:MIGUEL DAVID RAMIREZ MD PA
Entity Type:Organization
Organization Name:MIGUEL DAVID RAMIREZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-531-4400
Mailing Address - Street 1:420 LINCOLN RD
Mailing Address - Street 2:SUITE 443
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3019
Mailing Address - Country:US
Mailing Address - Phone:305-531-4400
Mailing Address - Fax:305-531-5838
Practice Address - Street 1:420 LINCOLN RD
Practice Address - Street 2:SUITE 443
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3019
Practice Address - Country:US
Practice Address - Phone:305-531-4400
Practice Address - Fax:305-531-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00795422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH16349Medicare UPIN
FLE4146Medicare ID - Type Unspecified