Provider Demographics
NPI:1114038395
Name:RAMIREZ, EDWARD JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOSEPH
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 1:9833 BLUE LARKSPUR LANE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6535
Mailing Address - Country:US
Mailing Address - Phone:831-649-4483
Mailing Address - Fax:831-649-9010
Practice Address - Street 1:9833 BLUE LARKSPUR LANE
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6535
Practice Address - Country:US
Practice Address - Phone:831-649-4483
Practice Address - Fax:831-649-9010
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45791174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0074030Medicaid
CA770417615OtherFEDERAL TAX ID
CAF75640Medicare UPIN
CAGR0074030Medicaid