MEDICARE: DR. JOSE I 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	2085R0204X	Vascular & Interventional Radiology Physician	ME90500	FL
2	2085R0202X	Diagnostic Radiology Physician	ME90500	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	48358W	OTHER	FL	FL HFMG MEDICARE
4	P01479171	OTHER	FL	FL RR MEDICARE

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386646438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE I RAMOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2400
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32902-2400
Country	:	US
Telephone Number	:	321-434-4600
Fax Number	:	321-259-0635

Provider Business Practice Location Address
First Line	:	1350 S HICKORY ST
Second Line	:	HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3224
Country	:	US
Telephone Number	:	321-434-7313
Fax Number	:	321-434-7238

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/13/2020

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Directions to “ DR. JOSE I RAMOS M.D.” Practice Location

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