Provider Demographics
NPI:1720522683
Name:RAMIREZ, EDWIN (APRN)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1307 STANFORD DR STE 305
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2005
Mailing Address - Country:US
Mailing Address - Phone:305-284-5511
Mailing Address - Fax:305-284-5340
Practice Address - Street 1:1307 STANFORD DR STE 305
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2005
Practice Address - Country:US
Practice Address - Phone:305-284-5511
Practice Address - Fax:305-284-5340
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP017301363LP0808X
FL11006636363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health