Provider Demographics
NPI:1043085517
Name:RAMOS, ERNESTO ALFREDO SR (APRN)
Entity Type:Individual
Prefix:
First Name:ERNESTO
Middle Name:ALFREDO
Last Name:RAMOS
Suffix:SR
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11245 SW 47TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5551
Mailing Address - Country:US
Mailing Address - Phone:201-898-6921
Mailing Address - Fax:
Practice Address - Street 1:11245 SW 47TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5551
Practice Address - Country:US
Practice Address - Phone:201-898-6921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily