Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leiddy K Ramirez Avila

Individual provider Physician Assistant · NPI 1013633205

Leiddy K Ramirez Avila is a Physician Assistant in Miramar, Florida. Practices as a sole proprietor. Licensed in Arizona, Florida and Puerto Rico.

Licensed in
AZ, FL, PR
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2812 Island Dr
Miramar, FL 33023-5809
Phone: (786) 290-1496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1484 (PR)
Physician Assistant Taxonomy 363A00000X · Licence 10431 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TPPA379 (FL)

Record details

NPI number1013633205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address2812 Island Dr, Miramar, FL 33023-5809

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