Provider Demographics
NPI:1578831533
Name:RAMIREZ, JOSE LUIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:LUIS
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17830 NW 81ST AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2841
Mailing Address - Country:US
Mailing Address - Phone:305-698-9394
Mailing Address - Fax:
Practice Address - Street 1:9675 NW 41ST ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2974
Practice Address - Country:US
Practice Address - Phone:305-406-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35378183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist