MEDICARE: DR. ALBERTO RAMOS MENDEZ 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	8494	PR

General Provider Information

NPI Number	:	1487655254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERTO RAMOS MENDEZ MD

Provider Business Mailing Address
First Line	:	PO BOX 1076
Second Line	:
City	:	AGUADA
State	:	PR
Zip	:	00602
Country	:	US
Telephone Number	:	787-868-6108
Fax Number	:	787-291-3052

Provider Business Practice Location Address
First Line	:	CALLE COLON #137
Second Line	:
City	:	AGUADA
State	:	PR
Zip	:	00602
Country	:	US
Telephone Number	:	787-868-6108
Fax Number	:	787-291-3052

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	06/18/2019

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