Provider Demographics
NPI:1679666010
Name:RONNY RAMIREZ RX CORP
Entity Type:Organization
Organization Name:RONNY RAMIREZ RX CORP
Other - Org Name:NATURXHEAL FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:305-629-9891
Mailing Address - Street 1:3105 NW 107TH AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2185
Mailing Address - Country:US
Mailing Address - Phone:305-629-9891
Mailing Address - Fax:305-436-0818
Practice Address - Street 1:3105 NW 107TH AVE STE 102
Practice Address - Street 2:STE 102
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2215
Practice Address - Country:US
Practice Address - Phone:305-629-9891
Practice Address - Fax:305-436-0818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH209943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2005765OtherPK
FL025717600Medicaid
4984050001Medicare NSC