MEDICARE: RAUL LEON RAMOS 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	207W00000X	Ophthalmology Physician	15793	PR

General Provider Information

NPI Number	:	1285725127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL LEON RAMOS M.D.

Provider Business Mailing Address
First Line	:	URB. TORRIMAR
Second Line	:	#10 23 PASEO DE LA ALHAMBRA
City	:	GUAYNABO
State	:	PR
Zip	:	00966-3150
Country	:	US
Telephone Number	:	787-792-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 CALLE CAMELIA
Second Line	:	SANTA MARIA
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6707
Country	:	US
Telephone Number	:	787-412-8063
Fax Number	:	787-746-5107

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/22/2018

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