MEDICARE: DR. GERARD RAMOS-MARTIN 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	207Q00000X	Family Medicine Physician	4766	PR

General Provider Information

NPI Number	:	1689677924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD RAMOS-MARTIN M.D.

Provider Business Mailing Address
First Line	:	18 GAUDI EXT. QUINTAS DE MONSERRATE
Second Line	:	(6)
City	:	PONCE
State	:	PR
Zip	:	00730-1747
Country	:	US
Telephone Number	:	787-384-8638
Fax Number	:	787-812-0423

Provider Business Practice Location Address
First Line	:	18 GAUDI ST.
Second Line	:	QUINTAS DE MONSERRATE
City	:	PONCE
State	:	PR
Zip	:	00730-1747
Country	:	US
Telephone Number	:	787-384-8638
Fax Number	:	787-812-0423

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/04/2013

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