Healthcare Provider Details

I. General information

NPI: 1790860120
Provider Name (Legal Business Name): THEMISTOCLES JULIAN RAMIREZ SCHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DR. RAMON EMETERIO BETANCES #18 NORTE
MAYAGUEZ PR
00681-0000
US

IV. Provider business mailing address

PO BOX 68
MAYAGUEZ PR
00681
US

V. Phone/Fax

Practice location:
  • Phone: 787-834-0050
  • Fax:
Mailing address:
  • Phone: 787-832-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number2832
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number2832
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: