Provider Demographics
NPI:1669632303
Name:LAVARRO, RIZALINA RAMOS (MD)
Entity type:Individual
Prefix:DR
First Name:RIZALINA
Middle Name:RAMOS
Last Name:LAVARRO
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 1:1523 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2116
Mailing Address - Country:US
Mailing Address - Phone:407-540-3738
Mailing Address - Fax:407-540-3726
Practice Address - Street 1:1523 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2116
Practice Address - Country:US
Practice Address - Phone:407-540-3738
Practice Address - Fax:407-540-3726
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86085174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist