Provider Demographics
NPI:1649247701
Name:RAMIREZ-MARTINEZ, JOSE ROBERTO (M D)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ROBERTO
Last Name:RAMIREZ-MARTINEZ
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 CALLE CASTILLA
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2635
Mailing Address - Country:US
Mailing Address - Phone:787-298-1068
Mailing Address - Fax:
Practice Address - Street 1:513 CALLE CASTILLA
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2635
Practice Address - Country:US
Practice Address - Phone:787-298-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF 31719Medicare UPIN
PR2 8560Medicare ID - Type UnspecifiedMEDICARE PROVIDER I.D.