Provider Demographics
NPI:1093187064
Name:RANERO, IGNACIO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:JOSE
Last Name:RANERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 WEBB RD STE 203
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-2865
Mailing Address - Country:US
Mailing Address - Phone:813-269-6426
Mailing Address - Fax:
Practice Address - Street 1:6101 WEBB RD STE 203
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2865
Practice Address - Country:US
Practice Address - Phone:813-269-6426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1266208D00000X
PR18965208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR18965OtherN/A
FLACN1266OtherFLORIDA MEDICAL LICENCE