Individual
CARLOS ANTONIO RAMIREZ PROENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1251 NW 122ND TER, PEMBROKE PINES, FL 33026-3819
(305) 924-5848
Mailing address
1251 NW 122ND TER, PEMBROKE PINES, FL 33026-3819
(305) 924-5848
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
16-115
FL
363A00000X
Physician Assistant
Primary
002617-P.A.
PR
363AS0400X
Surgical Physician Assistant
002617-P.A.
PR
Other
Enumeration date
06/25/2025
Last updated
06/26/2025
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