Provider Demographics
NPI:1861659922
Name:ALVARO F. RAMOS, MD, P.C.
Entity Type:Organization
Organization Name:ALVARO F. RAMOS, MD, P.C.
Other - Org Name:MARYLAND PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-442-4011
Mailing Address - Street 1:11185 STRATFIELD CT
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1650
Mailing Address - Country:US
Mailing Address - Phone:410-442-4011
Mailing Address - Fax:
Practice Address - Street 1:11185 STRATFIELD CT
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:MARRIOTTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21104-1650
Practice Address - Country:US
Practice Address - Phone:410-442-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00524292080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD253901200Medicaid