Provider Demographics
NPI:1558374702
Name:REMIREZ INTERNAL MEDICINE ASSOC
Entity Type:Organization
Organization Name:REMIREZ INTERNAL MEDICINE ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:REMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-842-3711
Mailing Address - Street 1:4222 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-3904
Mailing Address - Country:US
Mailing Address - Phone:409-842-3711
Mailing Address - Fax:409-842-2878
Practice Address - Street 1:4222 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-3904
Practice Address - Country:US
Practice Address - Phone:409-842-3711
Practice Address - Fax:409-842-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00L79SMedicare ID - Type UnspecifiedMEDICARE