Provider Demographics
NPI:1841309473
Name:RAMIREZ, JOSE ABEL (MD)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ABEL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSE
Other - Middle Name:A
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PA
Mailing Address - Street 1:1250 E CLIFF SUITE 4E
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4846
Mailing Address - Country:US
Mailing Address - Phone:915-351-6681
Mailing Address - Fax:915-351-6793
Practice Address - Street 1:1250 E CLIFF SUITE 4E
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4846
Practice Address - Country:US
Practice Address - Phone:915-351-6681
Practice Address - Fax:915-351-6793
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH56092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089942902Medicaid
TX0022HLOtherBLUE CROSS/BLUE SHIELD
TX0022HLOtherBLUE CROSS/BLUE SHIELD
F18625Medicare UPIN