MEDICARE: DR. EMMANUEL REYES-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	207RG0100X	Gastroenterology Physician	MD223790	OR
2	207RG0100X	Gastroenterology Physician	144064	MT
3	207RG0100X	Gastroenterology Physician	022459	PR
4	207RG0100X	Gastroenterology Physician	ME131885	FL
5	207RG0100X	Gastroenterology Physician	0101284722	VA

General Provider Information

NPI Number	:	1326332743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMANUEL REYES-RAMOS M.D.

Provider Business Mailing Address
First Line	:	363 AVE ESCORIAL
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920-3508
Country	:	US
Telephone Number	:	787-705-8683
Fax Number	:	787-705-8683

Provider Business Practice Location Address
First Line	:	363 AVE ESCORIAL
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920-3508
Country	:	US
Telephone Number	:	787-705-8683
Fax Number	:

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

Provider Enumeration Date	:	06/02/2011
Last Update Date	:	01/14/2026

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