Provider Demographics
NPI:1467476044
Name:MENDEZ-SEXTO, RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:MENDEZ-SEXTO
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:CALLE ROMA EXT VILLA CAPARRA
Mailing Address - Street 2:D 12
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-607-9857
Mailing Address - Fax:
Practice Address - Street 1:CALLE ROMA EXT VILLA CAPARRA
Practice Address - Street 2:D 12
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-0000
Practice Address - Country:US
Practice Address - Phone:787-607-9857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014859208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR500440EOtherMEDICARE Y MUCHO MAS
PR2011124OtherPREFERRED HEALTH
PR100124OtherLA CRUZ AZUL DE PR
PR201124OtherINTERNATIONAL MEDICAL CAR
PR21602OtherTRIPLE S
PR9490055OtherHUMANA HEALTH PLAN
PR21602Medicare ID - Type Unspecified
PR21602OtherTRIPLE S