Provider Demographics
NPI:1548343551
Name:HECHAVARRIA, RAMON (MD PA)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:HECHAVARRIA
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 172567
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33017-2567
Mailing Address - Country:US
Mailing Address - Phone:305-823-2233
Mailing Address - Fax:305-823-5238
Practice Address - Street 1:241 E 49TH ST
Practice Address - Street 2:RAMON HECHAVARRIA MD PA
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1854
Practice Address - Country:US
Practice Address - Phone:305-823-2233
Practice Address - Fax:305-823-5238
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0036672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95566Medicare ID - Type Unspecified
D78924Medicare UPIN