MEDICARE: DR. LUZ S RAMOS-BONNER 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	282N00000X	General Acute Care Hospital	25MA08127600	NJ
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	25MAO8127600	NJ
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD431039	PA

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
2	260744826	OTHER	NJ	BLUE CROSS

General Provider Information

NPI Number	:	1346257490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUZ S RAMOS-BONNER M.D.

Provider Business Mailing Address
First Line	:	326 PALTON RD
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-1644
Country	:	US
Telephone Number	:	215-355-5311
Fax Number	:

Provider Business Practice Location Address
First Line	:	6970 GERMANTOWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-2114
Country	:	US
Telephone Number	:	215-951-4586
Fax Number	:

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	11/23/2015

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