Healthcare Provider Details

I. General information

NPI: 1508897364
Provider Name (Legal Business Name): CARLOS RAMIREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E20 CALLE PICASSO QUINTAS DE SAN LUIS
CAGUAS PR
00725-7623
US

IV. Provider business mailing address

E20 CALLE PICASSO QUINTAS DE SAN LUIS
CAGUAS PR
00725-7623
US

V. Phone/Fax

Practice location:
  • Phone: 787-286-3088
  • Fax: 787-641-4380
Mailing address:
  • Phone: 787-286-3088
  • Fax: 787-641-4380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number7605
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: