Provider Demographics
NPI:1285725127
Name:RAMOS, RAUL LEON (MD)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:LEON
Last Name:RAMOS
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:URB. TORRIMAR
Mailing Address - Street 2:#10 23 PASEO DE LA ALHAMBRA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3150
Mailing Address - Country:US
Mailing Address - Phone:787-792-1986
Mailing Address - Fax:
Practice Address - Street 1:1817 CALLE CAMELIA
Practice Address - Street 2:SANTA MARIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6707
Practice Address - Country:US
Practice Address - Phone:787-412-8063
Practice Address - Fax:787-746-5107
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15793207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023029Medicare ID - Type Unspecified
PRI30924Medicare UPIN