Provider Demographics
NPI:1891926960
Name:RAMIREZ, JOSE ANGEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANGEL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 617
Mailing Address - Street 2:
Mailing Address - City:LAS MARIAS
Mailing Address - State:PR
Mailing Address - Zip Code:00670-0617
Mailing Address - Country:US
Mailing Address - Phone:939-394-7014
Mailing Address - Fax:939-394-7014
Practice Address - Street 1:85 AVE MATIAS BRUGMAN
Practice Address - Street 2:
Practice Address - City:LAS MARIAS
Practice Address - State:PR
Practice Address - Zip Code:00670-2020
Practice Address - Country:US
Practice Address - Phone:939-394-7014
Practice Address - Fax:939-394-7014
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17702208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice