Healthcare Provider Details

I. General information

NPI: 1588264659
Provider Name (Legal Business Name): URGENT CARE CENTER OF BLOOMFIELD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 COTTAGE GROVE RD
BLOOMFIELD CT
06002-3059
US

IV. Provider business mailing address

699 COTTAGE GROVE RD
BLOOMFIELD CT
06002-3059
US

V. Phone/Fax

Practice location:
  • Phone: 860-242-0034
  • Fax: 860-242-3301
Mailing address:
  • Phone: 860-242-0034
  • Fax: 860-242-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GILBERTO E RAMIREZ
Title or Position: OWNER
Credential: MD
Phone: 860-242-0034