Provider Demographics
NPI:1336118355
Name:RAMOS-RODRIGUEZ, JOSE MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MANUEL
Last Name:RAMOS-RODRIGUEZ
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:HC 1 BOX 6856
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9763
Mailing Address - Country:US
Mailing Address - Phone:787-733-0785
Mailing Address - Fax:787-744-1727
Practice Address - Street 1:PLAZA DEL CARMEN
Practice Address - Street 2:SUITE 110
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-1727
Practice Address - Fax:787-744-1727
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15999208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-3381Medicare ID - Type Unspecified
PRI-43972Medicare UPIN