Provider Demographics
NPI:1134217482
Name:RAMIREZ GONZALEZ, BELKIS Y (MD)
Entity type:Individual
Prefix:
First Name:BELKIS
Middle Name:Y
Last Name:RAMIREZ GONZALEZ
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 1:515 SW 12TH AVE
Mailing Address - Street 2:SUITE 521
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2435
Mailing Address - Country:US
Mailing Address - Phone:305-326-7322
Mailing Address - Fax:
Practice Address - Street 1:515 SW 12TH AVE
Practice Address - Street 2:SUITE 521
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2435
Practice Address - Country:US
Practice Address - Phone:305-326-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0028849208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037642600Medicaid
FL92570Medicare ID - Type Unspecified
FLD79940Medicare UPIN