Provider Demographics
NPI:1467448241
Name:RAMOS-GABATIN, ANGELITA S (MD)
Entity Type:Individual
Prefix:
First Name:ANGELITA
Middle Name:S
Last Name:RAMOS-GABATIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELITA
Other - Middle Name:R
Other - Last Name:SAN AGUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7703 FLOYD CURL DRIVE MC7977
Mailing Address - Street 2:UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONI
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-257-1400
Mailing Address - Fax:210-257-1428
Practice Address - Street 1:7703 FLOYD CURL DRIVE MC7977
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-257-1400
Practice Address - Fax:210-257-1428
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5215 - TX MED EXAM174400000X
TXE5215207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202635301Medicaid
TX202635301Medicaid