Provider Demographics
NPI:1942457304
Name:RAMOS GARCIA, JESUS MIGUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:MIGUEL
Last Name:RAMOS GARCIA
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 1:114 CALLE CENTRAL
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-8697
Mailing Address - Country:US
Mailing Address - Phone:787-421-8063
Mailing Address - Fax:
Practice Address - Street 1:CARR. 2, KM . 133.5
Practice Address - Street 2:EDIFICIO CENTER PLEX, SUITE 103
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:787-819-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17643208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation