MEDICARE: REYNERIO E PEREZ RAMIREZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18536	PR
2	207RC0000X	Cardiovascular Disease Physician	18536	PR

General Provider Information

NPI Number	:	1003049289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REYNERIO E PEREZ RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11577
Second Line	:	FERNANDEZ JUNCOS STATION
City	:	SAN JUAN
State	:	PR
Zip	:	00910
Country	:	US
Telephone Number	:	787-536-5976
Fax Number	:	787-723-5015

Provider Business Practice Location Address
First Line	:	1492 AVE PONCE DE LEON
Second Line	:	COND CENTRO EUROPA SUITE 717, CARDIOCARE & VASCULAR CEN
City	:	SAN JUAN
State	:	PR
Zip	:	00907-4012
Country	:	US
Telephone Number	:	787-723-5015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2009
Last Update Date	:	07/19/2017

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