Provider Demographics
NPI:1902874522
Name:RAMIREZ RAMOS, JOSE ANTONIO (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ANTONIO
Last Name:RAMIREZ RAMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5103
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-5103
Mailing Address - Country:US
Mailing Address - Phone:787-804-0010
Mailing Address - Fax:787-804-0110
Practice Address - Street 1:CALLE MUNOZ RIVERA #40
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-804-0010
Practice Address - Fax:787-804-0110
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2016-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR13753208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI36910Medicare UPIN