Provider Demographics
NPI:1023096203
Name:RAMIREZ, SANTIAGO C (MD)
Entity type:Individual
Prefix:DR
First Name:SANTIAGO
Middle Name:C
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3925 E FORT LOWELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1053
Mailing Address - Country:US
Mailing Address - Phone:520-229-0085
Mailing Address - Fax:520-229-0086
Practice Address - Street 1:1815 N MASTICK WAY
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-1046
Practice Address - Country:US
Practice Address - Phone:520-415-1027
Practice Address - Fax:520-229-0086
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2025-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ18477207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ284430Medicaid
E28699Medicare UPIN
AZ284430Medicaid
AZZ20482Medicare PIN
AZZ112849Medicare PIN