Provider Demographics
NPI:1043806458
Name:RAMIREZ, EDUARDO FERNANDO (APRN)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:FERNANDO
Last Name:RAMIREZ
Suffix:
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 1:30 SW 59TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3337
Mailing Address - Country:US
Mailing Address - Phone:786-344-0714
Mailing Address - Fax:
Practice Address - Street 1:30 SW 59TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3337
Practice Address - Country:US
Practice Address - Phone:786-344-0714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily