Provider Demographics
NPI:1861652083
Name:RAMIREZ-ATAMOROS, MARIA TERESA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:RAMIREZ-ATAMOROS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 EASY ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-9136
Mailing Address - Country:US
Mailing Address - Phone:903-630-4416
Mailing Address - Fax:855-630-9658
Practice Address - Street 1:1501 EASY ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9136
Practice Address - Country:US
Practice Address - Phone:903-630-4416
Practice Address - Fax:855-630-9658
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26438207Q00000X
NMMD2011-0661207Q00000X
TXR5189207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine