Provider Demographics
NPI:1124025838
Name:FIGUEROA, RAMON LUIS (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:LUIS
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1715 MCCULLOUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4046
Mailing Address - Country:US
Mailing Address - Phone:210-225-5323
Mailing Address - Fax:210-225-7505
Practice Address - Street 1:1715 MCCULLOUGH AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4046
Practice Address - Country:US
Practice Address - Phone:210-225-5323
Practice Address - Fax:210-225-7505
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ5759207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB121181OtherWELLMED MEDICARE
TX1043820-04OtherWELLMED MEDICAID
TX1043820-04OtherWELLMED MEDICAID
8K4770Medicare PIN