Provider Demographics
NPI:1013901321
Name:RAMIREZ, SALVACION DUPAYA (MD)
Entity Type:Individual
Prefix:MRS
First Name:SALVACION
Middle Name:DUPAYA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SALVACION
Other - Middle Name:A
Other - Last Name:DUPAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7845 OAKWOOD RD
Mailing Address - Street 2:STE 307
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4280
Mailing Address - Country:US
Mailing Address - Phone:410-760-4888
Mailing Address - Fax:410-760-1870
Practice Address - Street 1:7845 OAKWOOD RD
Practice Address - Street 2:STE 307
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4280
Practice Address - Country:US
Practice Address - Phone:410-760-4888
Practice Address - Fax:410-760-1870
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0038912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD014850OtherPRIORITY PARTNERS
MD088741200Medicaid
MDE4430001OtherFED BCBS
MD817867OtherMDIPA/OPTIMUM CHOICE
MD32464OtherCOVENTRY
MD32464OtherCOVENTRY
MDMD1911Medicare ID - Type Unspecified
E23685Medicare UPIN