Provider Demographics
NPI:1992760037
Name:NIEVES, RAMIRO (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:
Last Name:NIEVES
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 1:8200 SW 117TH AVE
Mailing Address - Street 2:SUITE 104A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4824
Mailing Address - Country:US
Mailing Address - Phone:305-403-0131
Mailing Address - Fax:305-403-0767
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:SUITE 104A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4824
Practice Address - Country:US
Practice Address - Phone:305-403-0131
Practice Address - Fax:305-403-0767
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82256207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262319600Medicaid
H21611Medicare UPIN
FL262319600Medicaid