Provider Demographics
NPI:1508880048
Name:RAMOS, GERARDO JAVIER JR (MD)
Entity Type:Individual
Prefix:MR
First Name:GERARDO
Middle Name:JAVIER
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:448 CASTROVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5147
Mailing Address - Country:US
Mailing Address - Phone:210-434-1400
Mailing Address - Fax:210-431-7472
Practice Address - Street 1:448 CASTROVILLE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5147
Practice Address - Country:US
Practice Address - Phone:210-434-1400
Practice Address - Fax:210-431-7472
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2019-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL6593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159786603OtherWELLMED MEDICAID
TX166895601Medicaid
TX8J3208OtherWELLMED MEDICARE
TX159786603OtherWELLMED MEDICAID