MEDICARE: CORPUS CHRISTI RADIOLOGY

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1255312633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORPUS CHRISTI RADIOLOGY

Provider Business Mailing Address
First Line	:	3554 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1722
Country	:	US
Telephone Number	:	361-855-5382
Fax Number	:	361-855-9360

Provider Business Practice Location Address
First Line	:	3554 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1722
Country	:	US
Telephone Number	:	361-855-5382
Fax Number	:	361-855-9360

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	ALVARO RAMOS
Credential	:	MD
Telephone Number	:	361-855-5382

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	08/22/2020

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1770720898 — ALVARO J. RAMOS, MD, PA
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1982789616 — ARMANDO GAMEZ III RNFA
Practice Location Address:

207 OHIO AVE
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Directions to “CORPUS CHRISTI RADIOLOGY ” Practice Location

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