Provider Demographics
NPI:1275604563
Name:RAMIREZ-PACHECO, LUIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:RAMIREZ-PACHECO
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 1:404 32ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3966
Mailing Address - Country:US
Mailing Address - Phone:201-758-7530
Mailing Address - Fax:201-758-7529
Practice Address - Street 1:404 32ND ST APT 1
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3966
Practice Address - Country:US
Practice Address - Phone:201-758-7530
Practice Address - Fax:201-758-7529
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA505212084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine