Provider Demographics
NPI:1710171988
Name:RAMIREZ, ANGELICA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301A W PALMETTO PARK RD STE 301A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3466
Mailing Address - Country:US
Mailing Address - Phone:561-392-6226
Mailing Address - Fax:561-391-7832
Practice Address - Street 1:880 NW 13TH ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2342
Practice Address - Country:US
Practice Address - Phone:561-392-6226
Practice Address - Fax:561-391-7832
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1524276OtherCOVENTRY
FL14L73OtherBCBS
FL1710171988OtherUNITED HEALTHCARE
FL3143160OtherCIGNA
FL9023118OtherAETNA
FL9023118OtherAETNA