Provider Demographics
NPI:1346231040
Name:MORALES-RAMIREZ, JAVIER O (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:O
Last Name:MORALES-RAMIREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:359 DE DIEGO AVE
Mailing Address - Street 2:EDIFICIO DE DIEGO - 5TH FLOOR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1738
Mailing Address - Country:US
Mailing Address - Phone:787-722-0445
Mailing Address - Fax:787-723-4415
Practice Address - Street 1:359 DE DIEGO AVE
Practice Address - Street 2:EDIFICIO DE DIEGO - 5TH FLOOR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1738
Practice Address - Country:US
Practice Address - Phone:787-722-0445
Practice Address - Fax:787-723-4415
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR4827207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0027112Medicare ID - Type Unspecified
PRD-99545Medicare UPIN