Provider Demographics
NPI:1124041041
Name:PEREZ RAMIREZ, RUBEN A (M,D)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:A
Last Name:PEREZ RAMIREZ
Suffix:
Gender:M
Credentials:M,D
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 2075
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2075
Mailing Address - Country:US
Mailing Address - Phone:787-864-5846
Mailing Address - Fax:
Practice Address - Street 1:AVE.PEDRO ALBIZU CAMPOS
Practice Address - Street 2:URB. LA HACIENDA
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:787-864-1070
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9306208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
E-70881Medicare UPIN
81550Medicare ID - Type Unspecified