Provider Demographics
NPI:1013059278
Name:HERNANDEZ RAMIREZ, MIGUEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:A
Last Name:HERNANDEZ 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 2312
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-8312
Mailing Address - Country:US
Mailing Address - Phone:787-826-3037
Mailing Address - Fax:787-826-3037
Practice Address - Street 1:CARRETERA 404 KM 0.1 #126
Practice Address - Street 2:BARRIO DAGUEY
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-265-8278
Practice Address - Fax:787-265-8278
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88878Medicare ID - Type Unspecified
PRG44104Medicare UPIN