Provider Demographics
NPI:1598878290
Name:RAMIREZ-PAGAN, WALTER STEVE (OD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:STEVE
Last Name:RAMIREZ-PAGAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 CALLE DIEZ DE ANDINO
Mailing Address - Street 2:BALDORIOTY PLAZA 1501
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3445
Mailing Address - Country:US
Mailing Address - Phone:787-319-7523
Mailing Address - Fax:787-753-2200
Practice Address - Street 1:XTRA SHOPPING CENTER LOCAL4
Practice Address - Street 2:AVENIDA 65 DE INFANTERIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-274-0308
Practice Address - Fax:787-753-2200
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR156152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR101041OtherCRUZ AZUL
PR55437 RAOtherTRIPLE S