Provider Demographics
NPI:1811011596
Name:SCHMIDT VELAZQUEZ, RAMON A (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:A
Last Name:SCHMIDT VELAZQUEZ
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 6004
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-6004
Mailing Address - Country:US
Mailing Address - Phone:787-212-0777
Mailing Address - Fax:787-847-6757
Practice Address - Street 1:CARR 149 KM 58 2
Practice Address - Street 2:BO TIERRA SANTA
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-0076
Practice Address - Country:US
Practice Address - Phone:787-847-4667
Practice Address - Fax:787-787-8476
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8564208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
I42253Medicare UPIN
PR0023509Medicare PIN
PRI-42253Medicare UPIN
PRI42253Medicare UPIN
0085049CMedicare PIN