Provider Demographics
NPI:1104664994
Name:RAMIREZ, WAHALKYRIA ELINA (PHLEBOTOMIST)
Entity type:Individual
Prefix:
First Name:WAHALKYRIA
Middle Name:ELINA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 N 70TH WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5534
Mailing Address - Country:US
Mailing Address - Phone:954-624-2805
Mailing Address - Fax:
Practice Address - Street 1:1140 N 70TH WAY
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5534
Practice Address - Country:US
Practice Address - Phone:954-624-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL675873246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty