Provider Demographics
NPI:1265787915
Name:ALVAREZ DIAZ, RAMIRO (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:
Last Name:ALVAREZ DIAZ
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 1:7235 CORAL WAY
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1452
Mailing Address - Country:US
Mailing Address - Phone:305-200-3570
Mailing Address - Fax:305-392-0714
Practice Address - Street 1:7235 CORAL WAY STE 214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1452
Practice Address - Country:US
Practice Address - Phone:305-200-3570
Practice Address - Fax:305-392-0714
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121242208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012953100Medicaid
FLME121242OtherMEDICAL LICENSE