Provider Demographics
NPI:1073566170
Name:GARCIA-SEPTIEN, RAMON M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:M
Last Name:GARCIA-SEPTIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMON
Other - Middle Name:M
Other - Last Name:GARCIA-SEPTIEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1490 WEST 49TH PLACE
Mailing Address - Street 2:SUITE-311
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3197
Mailing Address - Country:US
Mailing Address - Phone:305-556-9200
Mailing Address - Fax:305-556-8881
Practice Address - Street 1:1490 W 49TH PL STE 311
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3148
Practice Address - Country:US
Practice Address - Phone:305-556-9200
Practice Address - Fax:305-556-8881
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0044890207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069640400Medicaid
FLME0044890OtherMEDICAL DOCTOR
FL96539Medicare ID - Type Unspecified
FLD79003Medicare UPIN