MEDICARE: JOSE RAMON MD

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	207R00000X	Internal Medicine Physician	ME95352	FL

General Provider Information

NPI Number	:	1841283405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE RAMON MD

Provider Business Mailing Address
First Line	:	PO BOX 618189
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32861-8189
Country	:	US
Telephone Number	:	786-375-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 WEDGEWOOD LN FL 32162
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-7181
Country	:	US
Telephone Number	:	786-375-1500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	06/19/2024

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