Provider Demographics
NPI:1043528094
Name:JOSE A RAMIREZ MDPA
Entity Type:Organization
Organization Name:JOSE A RAMIREZ MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ABEL
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-351-6681
Mailing Address - Street 1:1250 E CLIFF DR
Mailing Address - Street 2:SUITE 4E
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4850
Mailing Address - Country:US
Mailing Address - Phone:915-351-6681
Mailing Address - Fax:915-351-6793
Practice Address - Street 1:1250 E CLIFF DR
Practice Address - Street 2:SUITE 4E
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4850
Practice Address - Country:US
Practice Address - Phone:915-351-6681
Practice Address - Fax:915-351-6793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5609261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089942902Medicaid
TXTXB109069Medicare PIN
00R57SMedicare PIN
F-18625Medicare UPIN