Provider Demographics
NPI:1508847450
Name:CUMBA, JOSE RAMON (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:RAMON
Last Name:CUMBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0130
Mailing Address - Country:US
Mailing Address - Phone:787-786-3849
Mailing Address - Fax:787-780-3774
Practice Address - Street 1:20-12 AVE AGUAS BUENAS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6621
Practice Address - Country:US
Practice Address - Phone:787-786-3849
Practice Address - Fax:787-780-3774
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5764207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E30425Medicare UPIN
26437Medicare ID - Type Unspecified