Provider Demographics
NPI:1790891158
Name:GALARRAGA-RAMIREZ, YOLANDA A (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:A
Last Name:GALARRAGA-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 1:1996 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1640
Mailing Address - Country:US
Mailing Address - Phone:305-649-7663
Mailing Address - Fax:305-541-2735
Practice Address - Street 1:1996 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1640
Practice Address - Country:US
Practice Address - Phone:305-649-7663
Practice Address - Fax:305-541-2735
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058433208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107469OtherHUMANA
FL2669595OtherAETNA
FL277867OtherAVMED
FL4350530OtherAETNA
FL841535600OtherCIGNA
FL260103413OtherFEDERAL TAX ID
FLSG004146OtherVISTA HEALTHPLAN
FL1202547OtherUNITED HEALTH CARE
FL064088300Medicaid
FL246088OtherWELL CARE
FL116000OtherAMERIGROUP
FLH33588Medicare UPIN