Provider Demographics
NPI:1649450396
Name:RADUCU, RAMONA N (MD)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:N
Last Name:RADUCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:EMILIA
Other - Last Name:RADUCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-7037
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-7037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-10
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD433134207L00000X
LAMD.204885207L00000X
FLME130105207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2164180Medicaid
MS08459788Medicaid
LA4Q5797061Medicare PIN