Provider Demographics
NPI:1982044657
Name:RAMIREZ, DIANA CAROLINA (MD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:CAROLINA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2135 S CONGRESS AVE
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406
Mailing Address - Country:US
Mailing Address - Phone:561-360-2034
Mailing Address - Fax:561-360-2650
Practice Address - Street 1:10131 FOREST HILL BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6156
Practice Address - Country:US
Practice Address - Phone:561-513-9030
Practice Address - Fax:561-793-4375
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2017-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME127105208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics