Provider Demographics
NPI:1033896733
Name:RAMONFAUR, DIEGO
Entity Type:Individual
Prefix:
First Name:DIEGO
Middle Name:
Last Name:RAMONFAUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DIEGO
Other - Middle Name:
Other - Last Name:RAMONFAUR GRACIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MSC, MPH
Mailing Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:667-202-1848
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:667-202-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.255271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty