Provider Demographics
NPI:1477887271
Name:CARLOS A. RAMIREZ MD PA
Entity Type:Organization
Organization Name:CARLOS A. RAMIREZ MD PA
Other - Org Name:EPICAL HEALTHMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDEN
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-929-8150
Mailing Address - Street 1:3113 IBIZA CT
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3856
Mailing Address - Country:US
Mailing Address - Phone:956-929-8150
Mailing Address - Fax:877-600-3491
Practice Address - Street 1:2112 S SHARY RD STE 6
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0009
Practice Address - Country:US
Practice Address - Phone:956-600-7258
Practice Address - Fax:877-600-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI45325Medicare UPIN
TX1789901Medicaid
TX0A5497Medicare PIN
TX8G3545Medicare PIN
TX8R0714OtherBCBS
TX8F23351Medicare PIN
TXP00285809Medicare PIN
TX2109837Medicaid