Provider Demographics
NPI:1407088966
Name:NAVIA, RAMIRO OSVALDO (MD)
Entity Type:Individual
Prefix:
First Name:RAMIRO
Middle Name:OSVALDO
Last Name:NAVIA
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 1:6040 UNIVERSITY TOWN CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-2421
Mailing Address - Country:US
Mailing Address - Phone:304-293-6307
Mailing Address - Fax:
Practice Address - Street 1:2829 BABCOCK RD
Practice Address - Street 2:CHRISTUS TOWER 1 STE 525
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6028
Practice Address - Country:US
Practice Address - Phone:210-450-9890
Practice Address - Fax:210-450-4985
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2033207RG0300X
WV27242207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX343360901Medicaid
TX386292YK00Medicare PIN
MA001278301Medicare PIN
MA1407088966Medicare UPIN