Provider Demographics
NPI:1023127834
Name:RAMIREZ-ANGUIANO, DANA Y (MD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:Y
Last Name:RAMIREZ-ANGUIANO
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 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:305-532-3378
Mailing Address - Fax:305-532-1164
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:SUITE 910
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-532-3378
Practice Address - Fax:305-532-1164
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121079208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036113920Medicaid
IL036113920OtherIL STATE LICENSE #
FL016137100Medicaid
ILI46327Medicare UPIN