Provider Demographics
NPI:1063851624
Name:RANGEL RAMIREZ, ALICIA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIA
Last Name:RANGEL RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:383 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4309
Mailing Address - Country:US
Mailing Address - Phone:305-551-2165
Mailing Address - Fax:786-621-7812
Practice Address - Street 1:14223 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6408
Practice Address - Country:US
Practice Address - Phone:305-551-2165
Practice Address - Fax:786-621-7812
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 127039207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine