Provider Demographics
NPI:1215974027
Name:CAO, RAMON E (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:E
Last Name:CAO
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:PO BOX 195095
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-5095
Mailing Address - Country:US
Mailing Address - Phone:787-379-6786
Mailing Address - Fax:787-767-6138
Practice Address - Street 1:735 AVE PONCE DE LEON
Practice Address - Street 2:TORRE MEDICA AUXILIO MUTUO OFIC 704
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-379-6786
Practice Address - Fax:787-767-6138
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061359207L00000X
PR15812207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC15497OtherRAILROAD GROUP#
MD405179300Medicaid
MDCA8702Medicare PIN
MDJ342Medicare ID - Type Unspecified
MD405179300Medicaid
MDP00256451Medicare PIN
MDJ342Medicare PIN