Provider Demographics
NPI:1760497507
Name:LLORET, RAMON LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:LUIS
Last Name:LLORET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7400 SW 87TH AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173
Mailing Address - Country:US
Mailing Address - Phone:305-275-8200
Mailing Address - Fax:305-274-7812
Practice Address - Street 1:7400 SW 87TH AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173
Practice Address - Country:US
Practice Address - Phone:305-275-8200
Practice Address - Fax:305-274-7812
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2015-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME45105207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009328500Medicaid
FL94511SMedicare PIN
D27812Medicare UPIN