1417968520 NPI number — RAFAEL A. RAMOS M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417968520 NPI number — RAFAEL A. RAMOS M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

RAMOS

Provider First Name:

RAFAEL

Provider Middle Name:

A.

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1417968520

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

02/01/2010

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

RR 7 BOX 7507

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

RIO PIEDRAS

Provider Business Mailing Address State Name:

PR

Provider Business Mailing Address Postal Code:

00926

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

787-716-1143

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

CALLE JOSE CELSO BARBOSA NUM 60

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

LAS PIEDRAS

Provider Business Practice Location Address State Name:

PR

Provider Business Practice Location Address Postal Code:

00771

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

787-716-1143

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

08/11/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208D00000X , with the licence number:  9457 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 82920 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 9260239 . This is a "HUMANA HEALTH PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 30351 . This is a "PROSAM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: PG3596 . This is a "PALIC PROVIDER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 201911 . This is a "PREFERRED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 300124 . This is a "MEDICARE Y MUCHO MAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 3109457 . This is a "UIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 061911 . This is a "CRUZ AZUL DE PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 9260239 . This is a "HUMANA INSURANCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 2380 . This is a "PREFERRED MEDICARE CHOICE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 3472 . This is a "FIRST MEDICAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".