Provider Demographics
NPI:1295956431
Name:SOLER RAMIREZ, RICARDO J (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:J
Last Name:SOLER RAMIREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:P.O. BOX 732
Mailing Address - Street 2:138 WINSTON CHURCHILL AVE.
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-782-4405
Mailing Address - Fax:787-782-1600
Practice Address - Street 1:CARR. 21 S-3-#1- 2NDO. PISO, URB. LAS LOMAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-782-4405
Practice Address - Fax:787-782-1600
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR254171100000X
PR65892083A0300X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171100000XOther Service ProvidersAcupuncturist
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28284Medicare UPIN