Provider Demographics
NPI:1104246644
Name:RAMIREZ, RONALDO A (MD)
Entity type:Individual
Prefix:DR
First Name:RONALDO
Middle Name:A
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 1:32 CALLE CEIBA
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2078
Mailing Address - Country:US
Mailing Address - Phone:873-782-4977
Mailing Address - Fax:
Practice Address - Street 1:880 AVE TITO CASTRO STE 102
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4733
Practice Address - Country:US
Practice Address - Phone:787-651-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19958208D00000X
FLTPME4365208D00000X
GA91563208D00000X
TXU1112208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty