Provider Demographics
NPI:1437316262
Name:RAMIREZ, LUIS ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ALBERTO
Last Name:RAMIREZ
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 1:862 CALLE ESTEBAN GONZALEZ
Mailing Address - Street 2:CONDOMINIUN UNIVERSITARIO 2-C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2309
Mailing Address - Country:US
Mailing Address - Phone:787-767-0776
Mailing Address - Fax:
Practice Address - Street 1:862 CALLE ESTEBAN GONZALEZ
Practice Address - Street 2:CONDOMINIUN UNIVERSITARIO 2-C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2309
Practice Address - Country:US
Practice Address - Phone:787-767-0776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17149208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice