Provider Demographics
NPI:1750026548
Name:RAMIREZ SIMONO, MIGUEL RAFAEL (APRN)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:RAFAEL
Last Name:RAMIREZ SIMONO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12690 SW 146TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5992
Mailing Address - Country:US
Mailing Address - Phone:786-805-7431
Mailing Address - Fax:
Practice Address - Street 1:12690 SW 146TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5992
Practice Address - Country:US
Practice Address - Phone:786-805-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016404363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily