Provider Demographics
NPI:1487788998
Name:RAMOS, ALBERTO XAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:XAVIER
Last Name:RAMOS
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 1:1400 N. 12TH STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-521-5800
Mailing Address - Fax:602-521-5332
Practice Address - Street 1:1400 N. 12TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-521-5800
Practice Address - Fax:602-521-5332
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36522207R00000X, 207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z124132Medicare PIN
Z124133Medicare PIN
Z116257Medicare PIN
AZZ144892Medicare PIN
AZZ144894Medicare PIN
AZZ144893Medicare PIN
Z123313Medicare PIN