Provider Demographics
NPI:1285606996
Name:RAMIREZ, ROBERT R (MD,)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:615-705-1725
Mailing Address - Fax:864-725-7707
Practice Address - Street 1:1860 S SEGUIN AVE BLDG E
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3914
Practice Address - Country:US
Practice Address - Phone:830-626-7770
Practice Address - Fax:855-347-6311
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110232143OtherMEDICARE RAILROAD
TX044881302Medicaid
TX110232143OtherMEDICARE RAILROAD
TX8082M9Medicare PIN