Provider Demographics
NPI:1285676486
Name:RAMOS, LUIS ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ALBERTO
Last Name:RAMOS
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 6646
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6646
Mailing Address - Country:US
Mailing Address - Phone:787-703-6543
Mailing Address - Fax:787-703-6547
Practice Address - Street 1:2 CALLE MUNOZ RIVERA
Practice Address - Street 2:PROFESSIONAL CENTER BUILDING SUITE 306
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2603
Practice Address - Country:US
Practice Address - Phone:787-703-6543
Practice Address - Fax:787-703-6547
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13070207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5236OtherFIRST MEDICAL
PR061563OtherCRUZ AZUL DE PR
PR7250230OtherHUMANA INSURANCE
PR7250230OtherHUMANA HEALTH PLAN
PR90290OtherTRIPLE S
PR400277OtherMEDICARE Y MUCHO MAS
PR4334OtherPREFERRED MEDICARE CHOICE
PR0090187Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
PR061563OtherCRUZ AZUL DE PR