Healthcare Provider Details

I. General information

NPI: 1205927167
Provider Name (Legal Business Name): AMADO RAMIREZ, JR., M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 GEORGE DIETER DR STE E
EL PASO TX
79936-7601
US

IV. Provider business mailing address

1440 GEORGE DIETER DR STE E
EL PASO TX
79936-7601
US

V. Phone/Fax

Practice location:
  • Phone: 915-594-7777
  • Fax: 915-594-1080
Mailing address:
  • Phone: 915-594-7777
  • Fax: 915-594-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberL3082
License Number StateTX

VIII. Authorized Official

Name: DR. AMADO RAMIREZ JR.
Title or Position: OWNER
Credential: M.D.
Phone: 915-594-7777