Provider Demographics
NPI:1407952617
Name:RAMIREZ, LUIS ERNESTO (PA)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:ERNESTO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:7105 SW 92ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-630-2511
Mailing Address - Fax:305-859-8330
Practice Address - Street 1:330 SW 27TH AVE
Practice Address - Street 2:SUITE #305
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2961
Practice Address - Country:US
Practice Address - Phone:305-856-6000
Practice Address - Fax:305-859-8330
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9100837363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant