Healthcare Provider Details

I. General information

NPI: 1720515828
Provider Name (Legal Business Name): RAMON SCHAFER JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 310
PINEHILL NM
87357-0310
US

IV. Provider business mailing address

PO BOX 310
PINEHILL NM
87357-0310
US

V. Phone/Fax

Practice location:
  • Phone: 505-775-3271
  • Fax:
Mailing address:
  • Phone: 505-775-3271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2023-1058
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: