MEDICARE: DR. GUILLERMO RAMIREZ MD

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	207Q00000X	Family Medicine Physician	L9861	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	291990YLPS	OTHER	TX	WELLMED PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427024322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUILLERMO RAMIREZ MD

Provider Business Mailing Address
First Line	:	1620 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78416-1353
Country	:	US
Telephone Number	:	361-206-0737
Fax Number	:	361-206-0738

Provider Business Practice Location Address
First Line	:	1620 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78416-1353
Country	:	US
Telephone Number	:	361-206-0737
Fax Number	:	361-206-0738

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/24/2024

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