Provider Demographics
NPI:1912392986
Name:RAMOS, ANGEL YASIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:YASIEL
Last Name:RAMOS
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 1:1986 OPA-LOCKA BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:OPA-LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054
Mailing Address - Country:US
Mailing Address - Phone:786-286-1084
Mailing Address - Fax:
Practice Address - Street 1:1986 OPA-LOCKA BOULEVARD
Practice Address - Street 2:
Practice Address - City:OPA-LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054
Practice Address - Country:US
Practice Address - Phone:786-286-1084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0085781207R00000X
KY55104207R00000X
FLME142859207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty