Provider Demographics
NPI:1881607661
Name:GUEVARA, RAMON A (DO)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:A
Last Name:GUEVARA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:240 CRANDON BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1543
Mailing Address - Country:US
Mailing Address - Phone:305-361-6232
Mailing Address - Fax:305-365-0031
Practice Address - Street 1:240 CRANDON BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1543
Practice Address - Country:US
Practice Address - Phone:305-361-6232
Practice Address - Fax:305-365-0031
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS6587208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103935OtherAVMED
FLFM4371OtherHEALTHNET
FL005429OtherNHP
FL1306687OtherUNITED HEALTHCARE
FL18936OtherSTAYWELL
FL373671701Medicaid
FL170689OtherHUMANA
FL373671700Medicaid
FL80835OtherBLUE CROSS BLUE SHIELD
FL1348134OtherUNITED HEALTHCARE
FL170753OtherHUMANA
FL18936OtherHEALTHEASE
FL4605196OtherAETNA
FL18936OtherWELLCARE
FL5210124OtherCIGNA
FL910770300Medicaid
FLFM4371OtherHEALTHNET