Provider Demographics
NPI:1689601395
Name:RAMOS, REY (MD)
Entity Type:Individual
Prefix:DR
First Name:REY
Middle Name:
Last Name:RAMOS
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 1:20 YORK ST
Mailing Address - Street 2:CB-2041
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06504-8900
Mailing Address - Country:US
Mailing Address - Phone:203-688-4748
Mailing Address - Fax:203-688-4740
Practice Address - Street 1:20 YORK ST # CB-2041
Practice Address - Street 2:YNH MEDICAL SERVICES PC
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06504
Practice Address - Country:US
Practice Address - Phone:203-688-4748
Practice Address - Fax:203-688-4740
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041818207R00000X, 208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2V6703OtherHEALTHNET/COMMERCIAL
CTPENDINGOtherRR MEDICARE
CT041818OtherPHYSICIAN LICENSE NUMBER
CT041818OtherCONNECTICARE
CT973045OtherUSA
CT25-37092OtherUHC
CT3820817/7446674OtherAETNA
CT25-37092OtherAMERICHOICE
CO001418187Medicaid
CTP3599592OtherOXFORD
CT36433OtherCONTROLLED SUBSTANCE NO
CT010041818CT02OtherANTHEM BCBS CT
CT295051OtherWELLCARE
CT295051OtherWELLCARE
CT36433OtherCONTROLLED SUBSTANCE NO
CT973045OtherUSA