Provider Demographics
NPI:1114065323
Name:RAMIREZ, JOSE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1688
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1688
Mailing Address - Country:US
Mailing Address - Phone:787-834-3505
Mailing Address - Fax:787-834-4012
Practice Address - Street 1:55 MEDITACION ST. CENTRO DE SERVICIOS MEDICOS BLDG.
Practice Address - Street 2:OFFICE 1-A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-3505
Practice Address - Fax:787-834-4012
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2735174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR91625OtherPEDIATRICIAN
PRPE2830OtherPEDIATRICIAN
PR6257OtherPEDIATRICIAN
PR203159OtherPEDIATRICIAN
PR2735OtherPEDIATRICIAN
PR4102735OtherPEDIATRICIAN
PR7080047OtherPEDIATRICIAN
PR062351OtherPEDIATRICIAN