Provider Demographics
NPI:1912457649
Name:SANTIAGO C. RAMIREZ MD PLLC
Entity Type:Organization
Organization Name:SANTIAGO C. RAMIREZ MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-229-0085
Mailing Address - Street 1:3925 E FORT LOWELL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1053
Mailing Address - Country:US
Mailing Address - Phone:520-229-0085
Mailing Address - Fax:520-229-0086
Practice Address - Street 1:507 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-2060
Practice Address - Country:US
Practice Address - Phone:520-422-6433
Practice Address - Fax:520-335-8705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18477207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty