Provider Demographics
NPI:1922050228
Name:RAMIREZ RODRIGUEZ, ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:RAMIREZ RODRIGUEZ
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 5157
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-5157
Mailing Address - Country:US
Mailing Address - Phone:787-738-0525
Mailing Address - Fax:787-738-3633
Practice Address - Street 1:CARR 14
Practice Address - Street 2:EDIF. PROFESIONAL SUITE 204 HOSPITAL MENONITA
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4105
Practice Address - Country:US
Practice Address - Phone:787-738-0525
Practice Address - Fax:787-738-3633
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9509207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41058Medicare UPIN