Provider Demographics
NPI:1558428375
Name:MARTINEZ,RAMIREZ,FERRARA
Entity Type:Organization
Organization Name:MARTINEZ,RAMIREZ,FERRARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-3317
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39471Medicare PIN
FLD64878Medicare UPIN