Provider Demographics
NPI:1962494948
Name:RAMIREZ, JULIO ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ALBERTO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-5838
Mailing Address - Country:US
Mailing Address - Phone:718-299-2100
Mailing Address - Fax:718-299-2102
Practice Address - Street 1:1 EAST TREMONT AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-1803
Practice Address - Country:US
Practice Address - Phone:718-299-2100
Practice Address - Fax:718-299-2102
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02622902Medicaid
NY073SR1Medicare ID - Type Unspecified
NYI24629Medicare UPIN