Provider Demographics
NPI:1891765509
Name:RAMIREZ, DIONISIO (MD)
Entity Type:Individual
Prefix:DR
First Name:DIONISIO
Middle Name:
Last Name:RAMIREZ
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 422
Mailing Address - Street 2:
Mailing Address - City:HOVEN
Mailing Address - State:SD
Mailing Address - Zip Code:57450-0422
Mailing Address - Country:US
Mailing Address - Phone:605-948-2450
Mailing Address - Fax:
Practice Address - Street 1:512 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HOVEN
Practice Address - State:SD
Practice Address - Zip Code:57450
Practice Address - Country:US
Practice Address - Phone:605-948-2201
Practice Address - Fax:605-948-2423
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3311207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0001948OtherWELLMARK BS PROVIDER#
SD5608433Medicaid
SD1948Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
SDD90386Medicare UPIN