Provider Demographics
NPI:1568464303
Name:RAMIREZ GONZALEZ, JOSE C (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:C
Last Name:RAMIREZ GONZALEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:CLINICA LAS AMERICAS ROOSEVELT AVENUE
Mailing Address - Street 2:SUITE 508
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-771-4800
Mailing Address - Fax:787-767-0685
Practice Address - Street 1:CLINICA LAS AMERICAS ROOSEVELT AVENUE
Practice Address - Street 2:SUITE 508
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-771-4800
Practice Address - Fax:787-767-0685
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics