Individual provider Active NPI

Leonardo Raul Ramirez Botana, MD

  • Nephrology Physician
  • Port Charlotte, FL
National Provider Identifier
1649844267
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME180159 Issued in FL
Practice address
3300 Tamiami TRL Ste 101a
Port Charlotte, FL 33952-8054
Phone
(772) 626-8754
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME180159 FL Primary
Internal Medicine Physician 207R00000X 15521-I PR

Addresses

Primary practice location

3300 Tamiami TRL Ste 101a
Port Charlotte, FL 33952-8054

Mailing address

3300 Tamiami TRL Ste 101a
Port Charlotte, FL 33952-8054
Phone (941) 629-4676

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
I20260624003545 FL Practitioner - Nephrology 3274006994

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Hunter Xing
Bossier City, LA 71111-8125

3300 Tamiami TRL
Suite 101a
Port Charlotte, FL 33952-8054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15521-IPRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1649844267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL STE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "941-629-4676",
            "fax_number": "941-629-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TAMIAMI TRL STE 101A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528054",
            "telephone_number": "772-626-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ BOTANA",
        "first_name": "LEONARDO",
        "middle_name": "RAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME180159",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15521-I",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.