Provider Demographics
NPI:1134160781
Name:RAMIREZ, DANIEL N (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:N
Last Name:RAMIREZ
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 1:3661 S MIAMI AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4248
Mailing Address - Country:US
Mailing Address - Phone:786-540-2454
Mailing Address - Fax:786-558-1124
Practice Address - Street 1:3661 S MIAMI AVE STE 610
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4248
Practice Address - Country:US
Practice Address - Phone:786-540-2454
Practice Address - Fax:786-558-1124
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME939302086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274721900Medicaid
FLC11703Medicare UPIN
FL274721900Medicaid
FLU6642Medicare ID - Type Unspecified