Provider Demographics
NPI:1437602539
Name:RAMIREZ GONZALEZ, MANUEL ANTONIO
Entity Type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:ANTONIO
Last Name:RAMIREZ GONZALEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 CALLE SANTA URSULA
Mailing Address - Street 2:URB. SAGRADO CORAZON
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4248
Mailing Address - Country:US
Mailing Address - Phone:787-412-5612
Mailing Address - Fax:
Practice Address - Street 1:1623 CALLE SANTA URSULA
Practice Address - Street 2:URB. SAGRADO CORAZON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4248
Practice Address - Country:US
Practice Address - Phone:787-412-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23286207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine