Provider Demographics
NPI:1295542660
Name:RAMON MOREDA MD PA
Entity type:Organization
Organization Name:RAMON MOREDA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-442-1031
Mailing Address - Street 1:PO BOX 141219
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-1219
Mailing Address - Country:US
Mailing Address - Phone:305-442-1031
Mailing Address - Fax:305-883-2991
Practice Address - Street 1:747 PONCE DE LEON BLVD STE 502
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2073
Practice Address - Country:US
Practice Address - Phone:305-442-1031
Practice Address - Fax:305-883-2991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAMON MOREDA MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty