MEDICARE: MIGUEL A RAMIREZ MD PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization	13300	PR

General Provider Information

NPI Number	:	1720325566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGUEL A RAMIREZ MD PSC

Provider Business Mailing Address
First Line	:	AA-24 PASEO PANORAMICO ALTAVILLA
Second Line	:
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-6088
Country	:	US
Telephone Number	:	787-671-7456
Fax Number	:	787-756-6378

Provider Business Practice Location Address
First Line	:	AVE.DE DIEGO 369
Second Line	:	TORRE SAN FRANCISCO SUITE 204
City	:	SAN JUAN
State	:	PR
Zip	:	00923-3004
Country	:	US
Telephone Number	:	787-671-7456
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MIGUEL A RAMIREZ RIPOLL
Credential	:	M.D.
Telephone Number	:	787-671-7456

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	01/14/2013

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