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NPI Code Detail

MEDICARE: ALTAGRACIA RAMIREZ M.D.

MEDICARE: ALTAGRACIA 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
12084P0800XPsychiatry PhysicianMD20430ME
22084P0800XPsychiatry Physician208539MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD20430OTHERMEMAINE MEDICAL BOARD

General Provider Information

NPI Number : 1235186925
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALTAGRACIA RAMIREZ M.D.
Provider Business Mailing Address
First Line : 40 CUTTS ISLAND LN
Second Line :
City : KITTERY POINT
State : ME
Zip : 03905-5208
Country : US
Telephone Number : 617-733-9716
Fax Number :
Provider Business Practice Location Address
First Line : 25 JUNE ST
Second Line :
City : SANFORD
State : ME
Zip : 04073-2621
Country : US
Telephone Number : 207-490-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 04/05/2021

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