Provider Demographics
NPI:1730747759
Name:RAMOS, RAUL (OD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7800 W 33RD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-5071
Mailing Address - Country:US
Mailing Address - Phone:786-515-2017
Mailing Address - Fax:
Practice Address - Street 1:20505 S DIXIE HWY STE 559
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1215
Practice Address - Country:US
Practice Address - Phone:786-231-0833
Practice Address - Fax:786-231-0838
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5673152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist