Provider Demographics
NPI:1285614750
Name:FERRA, RAMON U (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:U
Last Name:FERRA
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 1:37356 SPRINGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-1302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11980 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5172
Practice Address - Country:US
Practice Address - Phone:909-864-1097
Practice Address - Fax:909-503-1216
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME92163207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL64096OtherBCBS OF FL
FL271571600Medicaid
FL64096XMedicare PIN
A50891Medicare UPIN
FL64096ZMedicare PIN
FL271571600Medicaid
FL64096YMedicare PIN
FL64096OtherBCBS OF FL