Provider Demographics
NPI:1881384063
Name:RAMIREZ MERCED, ENRIQUE JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:JOEL
Last Name:RAMIREZ MERCED
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 1:1401 W SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6743
Mailing Address - Country:US
Mailing Address - Phone:689-313-9582
Mailing Address - Fax:
Practice Address - Street 1:1401 W SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6743
Practice Address - Country:US
Practice Address - Phone:407-833-7102
Practice Address - Fax:407-302-7368
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN39219390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program