Provider Demographics
NPI:1598735805
Name:HUBBARD, MARIA CRISTINA RAMIREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA RAMIREZ
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:RAMIREZ-NIETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 491554
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-7554
Mailing Address - Country:US
Mailing Address - Phone:281-529-5912
Mailing Address - Fax:
Practice Address - Street 1:951 CRANDON BLVD UNIT 491554
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-3477
Practice Address - Country:US
Practice Address - Phone:281-529-5912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1285692084N0400X, 2084P0301X, 2084B0040X
TXJ49792084N0400X
PR179932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10021573OtherAMERIGROUP CORP.
TX4540550001OtherSUPPLIER ID NUMBER W/ GBA
TX5909112OtherAETNA
TX10596334OtherGREAT WEST INS.
TX128501701Medicaid
TX130019740OtherRAILROAD MEDICARE
TX82870SOtherBLUE CROSS & BLUE SHIELDS
TX128501701Medicaid
PRFU311ZMedicare PIN
TX82870SOtherBLUE CROSS & BLUE SHIELDS