=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043528094
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSE A RAMIREZ MDPA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2010
-----------------------------------------------------
Last Update Date | 05/03/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1250 E CLIFF DR SUITE 4E
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-4850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-351-6681
-----------------------------------------------------
Fax | 915-351-6793
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1250 E CLIFF DR SUITE 4E
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-4850
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-351-6681
-----------------------------------------------------
Fax | 915-351-6793
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | M.D.
-----------------------------------------------------
Name | DR. JOSE ABEL RAMIREZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 915-351-6681
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number | H5609
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------