Provider Demographics
NPI:1649285081
Name:RAMON ESPINOSA, MD, PC
Entity type:Organization
Organization Name:RAMON ESPINOSA, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-833-1569
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-0655
Mailing Address - Country:US
Mailing Address - Phone:508-833-1569
Mailing Address - Fax:508-888-8936
Practice Address - Street 1:90 ROUTE 6A STE 5
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-5301
Practice Address - Country:US
Practice Address - Phone:508-833-1569
Practice Address - Fax:508-888-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC15504Medicare UPIN