Dr. Manuel De Jesus Ramirez Banqueris, MD
General Practice in Tampa, FL. Individual provider (NPI-1).
NPI number1164070330
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1164070330
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manuel De Jesus Ramirez Banqueris
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2019
- Certification date
- Oct 25, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN1202 | FL | Yes |
| 208D00000X | General Practice | 21549 | PR |
Practice location
400 E Dr Martin Luther King Jr BlvdTampa, FL 33603-3866
Phone 813-308-4040
Mailing address
12171 Sw 268th StHomestead, FL 33032-8001
Phone 305-278-0200
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