Healthcare Provider Details

I. General information

NPI: 1811259781
Provider Name (Legal Business Name): JOSE AUGUSTO ROMAN RAMOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2012
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 TORRE SAN CRISTOBAL
COTO LAUREL PR
00780-2861
US

IV. Provider business mailing address

3702 PORTALES DEL MONTE
PONCE PR
00780-2038
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-0002
  • Fax: 787-259-9900
Mailing address:
  • Phone: 787-843-0002
  • Fax: 787-259-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number18336
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18336
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: