Provider Demographics
NPI:1710309463
Name:RAMOS BALAGUER, MONIQUE EVANGELINE (ARNP - BC)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:EVANGELINE
Last Name:RAMOS BALAGUER
Suffix:
Gender:F
Credentials:ARNP - BC
Other - Prefix:MRS
Other - First Name:MONIQUE
Other - Middle Name:EVANGELINE
Other - Last Name:ROSADO RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6200 SW 73RD ST
Mailing Address - Street 2:CARDIAC DEVICE CENTER 2ND FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4679
Mailing Address - Country:US
Mailing Address - Phone:786-662-5604
Mailing Address - Fax:
Practice Address - Street 1:6200 SW 73RD ST
Practice Address - Street 2:CARDIAC DEVICE CENTER 2ND FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4679
Practice Address - Country:US
Practice Address - Phone:786-662-5604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9221576363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health