MEDICARE: RAMIL C JUMAO-AS 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	207R00000X	Internal Medicine Physician	L2359	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L2359	OTHER	TX	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780781427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMIL C JUMAO-AS MD

Provider Business Mailing Address
First Line	:	3303 ROGERS RD
Second Line	:	SUITE 120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3687
Country	:	US
Telephone Number	:	210-951-1110
Fax Number	:	210-610-5377

Provider Business Practice Location Address
First Line	:	3303 ROGERS RD STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-3688
Country	:	US
Telephone Number	:	210-951-1110
Fax Number	:	210-610-5377

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	08/23/2022

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