Provider Demographics
NPI:1528005162
Name:RAMIREZ, ALFREDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE MOLINOS
Mailing Address - Street 2:HACIENDAS CONSTANCIA # 741
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-849-3057
Mailing Address - Fax:
Practice Address - Street 1:CALLE MCKINLEY W
Practice Address - Street 2:YAGUEZ PLAZA SUITE 208
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-3988
Practice Address - Country:US
Practice Address - Phone:787-805-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12794207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100062OtherCRUZ AZUL DE PR
PR210041OtherUTI
PR9170088OtherHUMANA HEALTH PLAN
PR660629838OtherMCS HEALTH MANAGEMENT OPT
PR660629838OtherFIRST PLUS
PR12974OtherPLAN DE SALUD BELLA VISTA
PR36285 GPO 5026OtherASOCIACION DE MAESTROS
PRA026OtherINTERNATIONAL MEDICAL PLA
PR3348OtherAMERICAN HEALTH
PR4812794OtherUIA
PR601025OtherMEDICARE Y MUCHO MAS
PR89500OtherTRIPLE-S
PR601025OtherMEDICARE Y MUCHO MAS
PRH82880Medicare UPIN