Provider Demographics
NPI:1174562474
Name:RAMIREZ, RAMIRO (MD)
Entity type:Individual
Prefix:
First Name:RAMIRO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17202 EAGLE STAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1550
Mailing Address - Country:US
Mailing Address - Phone:210-492-1227
Mailing Address - Fax:210-492-6724
Practice Address - Street 1:17202 EAGLE STAR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1550
Practice Address - Country:US
Practice Address - Phone:210-492-1227
Practice Address - Fax:210-492-6724
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1920207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20808Medicare UPIN