MEDICARE: GILBERTO 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	028497	CT
2	207R00000X	Internal Medicine Physician	028497	CT

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	010028497CT04	OTHER	CT	ANTHEM BLUE SHIELD

General Provider Information

NPI Number	:	1518981448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERTO RAMIREZ MD

Provider Business Mailing Address
First Line	:	421 COTTAGE GROVE RD
Second Line	:	SUITE A
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3119
Country	:	US
Telephone Number	:	860-242-3933
Fax Number	:	860-242-3301

Provider Business Practice Location Address
First Line	:	421 COTTAGE GROVE RD
Second Line	:	SUITE A
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3119
Country	:	US
Telephone Number	:	860-242-3933
Fax Number	:	860-242-3301

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/14/2017

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