Provider Demographics
NPI:1306965470
Name:ALFREDO RAMIREZ JUSTINIANO NEFROLOGO CSP
Entity type:Organization
Organization Name:ALFREDO RAMIREZ JUSTINIANO NEFROLOGO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-849-3057
Mailing Address - Street 1:HACIENDAS CONSTANCIA
Mailing Address - Street 2:CALLE MOLINOS # 741
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-849-3057
Mailing Address - Fax:
Practice Address - Street 1:CALLE MCKINLEY # 114 OESTE
Practice Address - Street 2:YAGUEZ PLAZA SUITE 208
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-805-5435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty