Healthcare Provider Details

I. General information

NPI: 1184613796
Provider Name (Legal Business Name): FELIX RAMIREZ PEREZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOSE CELSO BARBOSA NUMERO 219
LAS PIEDRAS PR
00771
US

IV. Provider business mailing address

PO BOX 1019
LAS PIEDRAS PR
00771-1019
US

V. Phone/Fax

Practice location:
  • Phone: 787-409-1926
  • Fax: 787-733-3130
Mailing address:
  • Phone: 787-250-7959
  • Fax: 787-733-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6389
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: