Provider Demographics
NPI:1699863951
Name:BELKIS RAMIREZ MD PA
Entity type:Organization
Organization Name:BELKIS RAMIREZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BELKIS
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RAMIREZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-326-7322
Mailing Address - Street 1:515 SW 12TH AVE
Mailing Address - Street 2:SUITE 521
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2435
Mailing Address - Country:US
Mailing Address - Phone:305-326-7322
Mailing Address - Fax:
Practice Address - Street 1:515 SW 12TH AVE
Practice Address - Street 2:SUITE 521
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2435
Practice Address - Country:US
Practice Address - Phone:305-326-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0028849208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037642600Medicaid
FL92570Medicare ID - Type Unspecified
FLD79940Medicare UPIN