MEDICARE: URGENT CARE CENTER OF BLOOMFIELD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QM1300X	Multi-Specialty Clinic/Center
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1588264659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE CENTER OF BLOOMFIELD PLLC

Provider Business Mailing Address
First Line	:	699 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3059
Country	:	US
Telephone Number	:	860-242-0034
Fax Number	:	860-242-3301

Provider Business Practice Location Address
First Line	:	699 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3059
Country	:	US
Telephone Number	:	860-242-0034
Fax Number	:	860-242-3301

Authorized Official
Title or Position	:	OWNER
Name	:	GILBERTO E RAMIREZ
Credential	:	MD
Telephone Number	:	860-242-0034

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	02/13/2025

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