MEDICARE: DR. EFRAIN RAMIREZ - TORRES 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	174400000X	Specialist	004498	PR
2	207V00000X	Obstetrics & Gynecology Physician	4498	PR

General Provider Information

NPI Number	:	1518078153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EFRAIN RAMIREZ - TORRES M.D.

Provider Business Mailing Address
First Line	:	30 CALLE WASHINGTON
Second Line	:	SUITE 4
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1589
Country	:	US
Telephone Number	:	787-722-3510
Fax Number	:	787-722-4569

Provider Business Practice Location Address
First Line	:	30 CALLE WASHINGTON
Second Line	:	SUITE 4
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1589
Country	:	US
Telephone Number	:	787-722-3510
Fax Number	:	787-722-4569

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/13/2012

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