Basic Information
Provider Information
NPI: 1275517575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MADRIL
FirstName: DANIELLE
MiddleName: RAMOS
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2421 SAN DOMINGO ST
Address2:  
City: CORAL GABLES
State: FL
PostalCode: 331345532
CountryCode: US
TelephoneNumber: 7865529950
FaxNumber:  
Practice Location
Address1: 3100 SW 62ND AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331553009
CountryCode: US
TelephoneNumber: 3056666511
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/01/2005
LastUpdateDate: 11/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X210768MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XG85251CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XME68902FLY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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