Provider Demographics
NPI:1013802974
Name:RAMALLO, VICTOR ANTONIO (RN)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ANTONIO
Last Name:RAMALLO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13615 SW 119TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4517
Mailing Address - Country:US
Mailing Address - Phone:786-553-3486
Mailing Address - Fax:
Practice Address - Street 1:7480 BIRD RD STE 400
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6630
Practice Address - Country:US
Practice Address - Phone:305-667-1080
Practice Address - Fax:305-397-2671
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY833040-01163W00000X, 163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse