MEDICARE: MR. RENE RAMIREZ-ORTIZ 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	170100000X	Ph.D. Medical Genetics	11958	PR

General Provider Information

NPI Number	:	1679582415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RENE RAMIREZ-ORTIZ MD

Provider Business Mailing Address
First Line	:	TORRE SAN FRANCISCO SUITE# 304
Second Line	:	DE DIEGO AVE. 369
City	:	SAN JUAN
State	:	PUERTO RICO
Zip	:	00923
Country	:	UM
Telephone Number	:	787-250-7577
Fax Number	:	787-250-7578

Provider Business Practice Location Address
First Line	:	369 CALLE DE DIEGO STE 304
Second Line	:	TORRE SAN FRANCISCO
City	:	SAN JUAN
State	:	PR
Zip	:	00923-3004
Country	:	US
Telephone Number	:	787-250-7577
Fax Number	:	787-250-7578

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	08/15/2011

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