Individual provider Active NPI

Tania Perez Ramos, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1275979544
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19978 Issued in PR
Practice address
2750 W 68TH St Ste 127-128
Hialeah, FL 33016
Phone
(305) 558-0765
Fax
(305) 558-0768
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1076 FL
General Practice Physician 208D00000X 19978 PR Primary

Addresses

Primary practice location

2750 W 68TH St Ste 127-128
Hialeah, FL 33016

Mailing address

167 Lorelane PL
Key Largo, FL 33037-4201
Phone (305) 528-8137

Other practice location 1

Avenida Juan Ponce de Leon Hato Rey
San Juan, PR 00919-1227
Phone (787) 758-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211003199 FL Practitioner - Family Practice 5496099814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19978PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Mercedes, LLC General Practice CurrentSince Sep 1, 2018 Accepting new patients
Clinica Las Mercedes, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

2750 W 68th St
Ste 127128
Hialeah, FL 33016
Phone (305) 558-0765

2750 W 68th St
#127128
Hialeah, FL 33016
Phone (305) 558-0765

1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776

6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1275979544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 LORELANE PL",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374201",
            "telephone_number": "305-528-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 68TH ST STE 127-128",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-558-0765",
            "fax_number": "305-558-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Avenida Juan Ponce de Leon Hato Rey",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009191227",
            "country_code": "US",
            "telephone_number": "787-758-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ RAMOS",
        "first_name": "TANIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1076",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.