Healthcare Provider Details

I. General information

NPI: 1003654302
Provider Name (Legal Business Name): JAIME A RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAIME A RAMOS MD

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 08/05/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. DE LA CONSTITUCION
SAN JUAN PR
00919-7052
US

IV. Provider business mailing address

P.M.B. 162, P.O. BOX 1283 P.M.B 162, P.O BOX 1283
SAN LORENZO PR
00754
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2000
  • Fax:
Mailing address:
  • Phone: 787-620-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number024267
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: