Provider Demographics
NPI:1578768891
Name:RAMIREZ, ALCIDES RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALCIDES
Middle Name:RAFAEL
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 SAN BRUNO D-1
Mailing Address - Street 2:SAN JUAN D-1
Mailing Address - City:SAN JUAN GARDENS
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-384-8510
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN BRUNO D-1
Practice Address - Street 2:SAN JUAN D-1
Practice Address - City:SAN JUAN GARDENS
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-384-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12732208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice