Provider Demographics
NPI:1619091162
Name:SOTOMAYOR, RAMON K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:K
Last Name:SOTOMAYOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 AVE LA SIERRA APT 61
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4338
Mailing Address - Country:US
Mailing Address - Phone:787-961-4211
Mailing Address - Fax:787-961-4217
Practice Address - Street 1:500 AVE DEGETAU
Practice Address - Street 2:HIMA PLAZA I SUITE 500
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7301
Practice Address - Country:US
Practice Address - Phone:787-961-4211
Practice Address - Fax:787-961-4217
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2013-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR11385208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41200Medicare UPIN