Provider Demographics
NPI:1720325566
Name:MIGUEL A RAMIREZ MD PSC
Entity Type:Organization
Organization Name:MIGUEL A RAMIREZ MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMIREZ RIPOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-671-7456
Mailing Address - Street 1:AA-24 PASEO PANORAMICO ALTAVILLA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6088
Mailing Address - Country:US
Mailing Address - Phone:787-671-7456
Mailing Address - Fax:787-756-6378
Practice Address - Street 1:AVE.DE DIEGO 369
Practice Address - Street 2:TORRE SAN FRANCISCO SUITE 204
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3004
Practice Address - Country:US
Practice Address - Phone:787-671-7456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13300302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization