MEDICARE: DR. AGUSTIN ALBERTO 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
1	207Q00000X	Family Medicine Physician	48319	KY
2	207Q00000X	Family Medicine Physician	01076087A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982963740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AGUSTIN ALBERTO RAMIREZ M.D.

Provider Business Mailing Address
First Line	:	2916 PEACH BLOSSOM DR
Second Line	:	STE 101
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-8380
Country	:	US
Telephone Number	:	502-432-9987
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 PEACH BLOSSOM DR STE 101
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-8380
Country	:	US
Telephone Number	:	812-590-1600
Fax Number	:	812-590-6561

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

Provider Enumeration Date	:	05/14/2012
Last Update Date	:	10/17/2018

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Directions to “ DR. AGUSTIN ALBERTO RAMIREZ M.D.” Practice Location

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