Provider Demographics
NPI:1992719074
Name:RAMIREZ, WALTER OSVALDO (MD)
Entity type:Individual
Prefix:DR
First Name:WALTER
Middle Name:OSVALDO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8000 SW 117TH AVE STE PHB1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4803
Mailing Address - Country:US
Mailing Address - Phone:305-559-9860
Mailing Address - Fax:305-559-9207
Practice Address - Street 1:8000 SW 117TH AVE STE PHB1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4803
Practice Address - Country:US
Practice Address - Phone:305-559-9860
Practice Address - Fax:305-559-9207
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82563207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266285000Medicaid
FL1992719074Medicaid
FL266285000Medicaid