Provider Demographics
NPI:1790860120
Name:RAMIREZ SCHON, THEMISTOCLES JULIAN (MD)
Entity Type:Individual
Prefix:
First Name:THEMISTOCLES
Middle Name:JULIAN
Last Name:RAMIREZ SCHON
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:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681
Mailing Address - Country:US
Mailing Address - Phone:787-832-5333
Mailing Address - Fax:
Practice Address - Street 1:CALLE DR. RAMON EMETERIO BETANCES #18 NORTE
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681-0000
Practice Address - Country:US
Practice Address - Phone:787-834-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2832207XS0106X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
064732OtherBLUE CROSS
20000598OtherACAA
7090024OtherHUMANA
9513OtherSERVI MEDICAL
32832OtherMED CARD SYSTEM
8094OtherINTL MEDICAL CARE
RA94845OtherTRIPLE S
202025OtherPREFERRED HEALTH
402832OtherQIA
32832OtherMED CARD SYSTEM
C83891Medicare UPIN