Provider Demographics
NPI:1194709832
Name:RAMIREZ, CARLOS ARMANDO (MD)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:ARMANDO
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 1:3113 IBIZA CT
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3856
Mailing Address - Country:US
Mailing Address - Phone:956-929-8150
Mailing Address - Fax:877-600-3491
Practice Address - Street 1:2112 S SHARY RD STE 6
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0009
Practice Address - Country:US
Practice Address - Phone:956-600-7258
Practice Address - Fax:877-600-3491
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1437207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5497Medicare PIN
TX2109837Medicaid
TX8G3546Medicare PIN
TXP00285809Medicare PIN
TX8R0714OtherBCBS
I45325Medicare UPIN
TX1789901Medicaid
TX178990101Medicaid
TX8F23351Medicare PIN