=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326093287
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JULIO A. RAMIREZ, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2006
-----------------------------------------------------
Last Update Date | 12/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6602 CHURCH HILL RD SUITE 400
-----------------------------------------------------
City | CHESTERTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21620-2310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-778-5255
-----------------------------------------------------
Fax | 410-778-3390
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6602 CHURCH HILL RD SUITE 400
-----------------------------------------------------
City | CHESTERTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21620-2310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-778-5255
-----------------------------------------------------
Fax | 410-778-3390
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JULIO ALBERTO RAMIREZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 410-778-5255
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------