Provider Demographics
NPI:1356304281
Name:LEAL, RAMIRO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:
Last Name:LEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAMIRO
Other - Middle Name:
Other - Last Name:LEAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FACOG
Mailing Address - Street 1:1900 S JACKSON RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1588
Mailing Address - Country:US
Mailing Address - Phone:956-971-9930
Mailing Address - Fax:956-971-9934
Practice Address - Street 1:1900 S. JACKSON ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-971-9930
Practice Address - Fax:956-971-9934
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A5350OtherBCBS
TX147380304Medicaid
TXH47386Medicare UPIN
TX147380304Medicaid