Provider Demographics
NPI:1710920368
Name:RAMIREZ, MIGUEL DAVID (MD)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:DAVID
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 LINCOLN RD
Mailing Address - Street 2:SUITE 443
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3019
Mailing Address - Country:US
Mailing Address - Phone:305-531-4400
Mailing Address - Fax:305-531-5838
Practice Address - Street 1:420 LINCOLN RD
Practice Address - Street 2:SUITE 443
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3019
Practice Address - Country:US
Practice Address - Phone:305-531-4400
Practice Address - Fax:305-531-5838
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL795422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258414000Medicaid
FLE4146YMedicare PIN
FLH16349Medicare UPIN
FLE4146Medicare PIN