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NPI Code Detail

MEDICARE: MR. ALFONSO RAMIREZ M.D.

MEDICARE: MR. ALFONSO RAMIREZ 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
1207Q00000XFamily Medicine PhysicianF1919TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
275-2169593OTHERUHC & OTHER INS ID
34553489OTHERAETNA PROVIDER NO
400PL08OTHERTXBCBS

General Provider Information

NPI Number : 1730158718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALFONSO RAMIREZ M.D.
Provider Business Mailing Address
First Line : 1121 W JEFFERSON BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75208-5145
Country : US
Telephone Number : 214-943-5773
Fax Number : 214-948-3944
Provider Business Practice Location Address
First Line : 1121 W JEFFERSON BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75208-5145
Country : US
Telephone Number : 214-943-5773
Fax Number : 469-364-7978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 09/20/2023

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