Provider Demographics
NPI:1508004409
Name:CARLOS RAMOS, MD
Entity Type:Organization
Organization Name:CARLOS RAMOS, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, SUPPORT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-500-2108
Mailing Address - Street 1:7200 CORPORATE CENTER DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1200
Mailing Address - Country:US
Mailing Address - Phone:305-500-2108
Mailing Address - Fax:305-500-2146
Practice Address - Street 1:16800 NW 2ND AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5549
Practice Address - Country:US
Practice Address - Phone:305-651-8770
Practice Address - Fax:305-651-7898
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTINUCARE MDHC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92964332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site