Provider Demographics
NPI:1689677924
Name:RAMOS-MARTIN, GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARD
Middle Name:
Last Name:RAMOS-MARTIN
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 1:18 GAUDI EXT. QUINTAS DE MONSERRATE
Mailing Address - Street 2:(6)
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-1747
Mailing Address - Country:US
Mailing Address - Phone:787-384-8638
Mailing Address - Fax:787-812-0423
Practice Address - Street 1:18 GAUDI ST.
Practice Address - Street 2:QUINTAS DE MONSERRATE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-1747
Practice Address - Country:US
Practice Address - Phone:787-384-8638
Practice Address - Fax:787-812-0423
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4766207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC-77371Medicare UPIN
PR25852Medicare PIN
PR29140CMedicare PIN