Healthcare Provider Details

I. General information

NPI: 1245761204
Provider Name (Legal Business Name): JEROME ALEXANDER RAMIREZ-MARQUEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF RADIOLOGY 2000 OLD CLINIC CB #7510
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 420
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-9047
  • Fax:
Mailing address:
  • Phone: 984-974-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number022210
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number02061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: