Provider Demographics
NPI:1114059672
Name:CHELEUITTE, RAMON ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:ELIAS
Last Name:CHELEUITTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12 SPRUCE ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5204
Mailing Address - Country:US
Mailing Address - Phone:207-621-2500
Mailing Address - Fax:207-621-9766
Practice Address - Street 1:12 SPRUCE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5204
Practice Address - Country:US
Practice Address - Phone:207-621-2500
Practice Address - Fax:207-621-9766
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2013-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME014451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM673201Medicare PIN
MEMM6732Medicare PIN
G44482Medicare UPIN