Provider Demographics
NPI:1902819113
Name:HERNANDEZ, RAMON MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:MANUEL
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 SW 73RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2641
Mailing Address - Country:US
Mailing Address - Phone:786-747-4702
Mailing Address - Fax:786-668-6398
Practice Address - Street 1:799 SW 73RD CT STE B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2641
Practice Address - Country:US
Practice Address - Phone:786-747-4702
Practice Address - Fax:786-668-6398
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME34561208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002130600Medicaid
FL002130600Medicaid
FL95288CMedicare PIN