Individual
JAILENE HENESSEY RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6705 S RED RD STE 504, SOUTH MIAMI, FL 33143-3644
(305) 395-7722
Mailing address
1051 SW 131ST PL, MIAMI, FL 33184-2052
(786) 470-7381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9118663
FL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/26/2022
Last updated
09/15/2025
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