Provider Demographics
NPI:1770720898
Name:ALVARO J. RAMOS, MD, PA
Entity type:Organization
Organization Name:ALVARO J. RAMOS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-855-5382
Mailing Address - Street 1:P. O. BOX 6748
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6748
Mailing Address - Country:US
Mailing Address - Phone:361-855-5382
Mailing Address - Fax:361-855-9360
Practice Address - Street 1:3554 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1722
Practice Address - Country:US
Practice Address - Phone:361-855-5382
Practice Address - Fax:361-855-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8130174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20817Medicare UPIN
TX0A0316Medicare PIN