Provider Demographics
NPI:1063548402
Name:RAMIREZ, CARLOS REYNOLD (LMT)
Entity type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:REYNOLD
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16372 SW 53RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5182
Mailing Address - Country:US
Mailing Address - Phone:786-301-2102
Mailing Address - Fax:
Practice Address - Street 1:9000 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1411
Practice Address - Country:US
Practice Address - Phone:305-382-9991
Practice Address - Fax:305-382-9550
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other