Provider Demographics
NPI:1265426829
Name:RAMIREZ, LUIS U (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:U
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LUIS
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 56346
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-6346
Mailing Address - Country:US
Mailing Address - Phone:904-955-5860
Mailing Address - Fax:904-253-3513
Practice Address - Street 1:11555 CENTRAL PKWY
Practice Address - Street 2:STE 200
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-2691
Practice Address - Country:US
Practice Address - Phone:904-253-3512
Practice Address - Fax:904-253-3513
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2010-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81198207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28022OtherBCBS OF FL
FL264863600Medicaid
FL28022OtherBCBS
FL28022OtherBCBS