Provider Demographics
NPI:1881740447
Name:CADAG, RAMIRO ALCARAS (MD)
Entity type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:ALCARAS
Last Name:CADAG
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 1:1497 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6401
Mailing Address - Country:US
Mailing Address - Phone:718-339-1877
Mailing Address - Fax:718-339-3857
Practice Address - Street 1:1497 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6401
Practice Address - Country:US
Practice Address - Phone:718-339-1877
Practice Address - Fax:718-339-3857
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
57844OtherBLUE CROSS BLUE SHIELD
NY132812734OtherTAX IDENTIFICATION NUMBER
NY00217345Medicaid
NY578441Medicare ID - Type Unspecified
NY00217345Medicaid