Provider Demographics
NPI:1144268590
Name:ARGUELLES, RAMON FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:FRANCISCO
Last Name:ARGUELLES
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 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:2001 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1801
Practice Address - Country:US
Practice Address - Phone:305-364-2110
Practice Address - Fax:786-639-1993
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK30672085R0001X
FLME517722085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6836OtherDIMENSION
FLP1035656OtherFREEDOM
FL342096OtherAVMED
FL968033OtherWELLCARE
FL128940702Medicaid
FLP971450OtherOPTIMUM
FL198315OtherWELLCARE
FLP01598274OtherRR MEDICARE
FLP971450OtherOPTIMUM
FL128940702Medicaid
FL128940702Medicaid