Provider Demographics
NPI:1619929528
Name:RAMIREZ-ORTEGA, XIOMARA (MD)
Entity Type:Individual
Prefix:
First Name:XIOMARA
Middle Name:
Last Name:RAMIREZ-ORTEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XIOMARA
Other - Middle Name:R
Other - Last Name:ORTEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:616 E ST STE B
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3342
Mailing Address - Country:US
Mailing Address - Phone:727-442-5123
Mailing Address - Fax:813-635-2657
Practice Address - Street 1:616 E ST STE B
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3342
Practice Address - Country:US
Practice Address - Phone:727-442-5123
Practice Address - Fax:813-635-2657
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268925100Medicaid
FLP00339633OtherRAILROAD MEDICARE NUMBER
I01857Medicare UPIN
FLP00339633OtherRAILROAD MEDICARE NUMBER