Provider Demographics
NPI:1326105164
Name:RAMIREZ, IGNACIO ALFREDO
Entity Type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:ALFREDO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 20TH AVE
Mailing Address - Street 2:SUITE 615
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5529
Mailing Address - Country:US
Mailing Address - Phone:305-822-3044
Mailing Address - Fax:305-822-8782
Practice Address - Street 1:7150 W 20TH AVE
Practice Address - Street 2:SUITE 615
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5529
Practice Address - Country:US
Practice Address - Phone:305-822-3044
Practice Address - Fax:305-822-8782
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96226OtherBLUE CROSS AND BLUE SHIELD OF FLORIDA
FL96226OtherBLUE CROSS AND BLUE SHIELD OF FLORIDA
FLD78967Medicare UPIN