MEDICARE: DR. LUIS A. 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	207RG0100X	Gastroenterology Physician	H-4107	TX
2	207RG0100X	Gastroenterology Physician	H4107	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245315811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS A. RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	8021 BIG BEND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3026
Country	:	US
Telephone Number	:	915-630-2072
Fax Number	:	915-440-8385

Provider Business Practice Location Address
First Line	:	8021 BIG BEND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3026
Country	:	US
Telephone Number	:	915-630-2072
Fax Number	:	915-440-8385

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	05/29/2024

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Directions to “ DR. LUIS A. RAMIREZ M.D.” Practice Location

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