Provider Demographics
NPI:1326496555
Name:RAMOS, LIBERT (ARNP)
Entity Type:Individual
Prefix:
First Name:LIBERT
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 NW 14TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2114
Mailing Address - Country:US
Mailing Address - Phone:305-243-4562
Mailing Address - Fax:305-243-3381
Practice Address - Street 1:1150 NW 14TH ST STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2114
Practice Address - Country:US
Practice Address - Phone:305-243-4562
Practice Address - Fax:305-243-3381
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9258917363LA2200X
FL9258917363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology