Healthcare Provider Details

I. General information

NPI: 1346173028
Provider Name (Legal Business Name): JOSE A RAMIREZ PRIMARY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

85 AVE MATIAS BRUGMAN STE 3
LAS MARIAS PR
00670-2020
US

IV. Provider business mailing address

PO BOX 617
LAS MARIAS PR
00670-0617
US

V. Phone/Fax

Practice location:
  • Phone: 939-394-7014
  • Fax: 855-865-2722
Mailing address:
  • Phone: 939-394-7014
  • Fax: 855-865-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE ANGEL RAMIREZ
Title or Position: OWNER
Credential: MD
Phone: 939-394-7014