Provider Demographics
NPI:1366756702
Name:MORALES, RAMIRO JR (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:
Last Name:MORALES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12600 PEMBROKE RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2544
Mailing Address - Country:US
Mailing Address - Phone:954-450-6594
Mailing Address - Fax:954-450-1509
Practice Address - Street 1:12600 PEMBROKE RD
Practice Address - Street 2:SUITE 306
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2544
Practice Address - Country:US
Practice Address - Phone:954-450-6594
Practice Address - Fax:954-450-1509
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME00728072086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG 63578OtherUPIN