Provider Demographics
NPI:1811259781
Name:ROMAN RAMOS, JOSE AUGUSTO (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:AUGUSTO
Last Name:ROMAN RAMOS
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 1:35 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-2202
Mailing Address - Country:US
Mailing Address - Phone:787-829-5112
Mailing Address - Fax:787-829-5118
Practice Address - Street 1:407 TORRE SAN CRISTOBAL
Practice Address - Street 2:
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2861
Practice Address - Country:US
Practice Address - Phone:787-843-0002
Practice Address - Fax:787-259-9900
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18336207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine