Provider Demographics
NPI:1306982939
Name:RAMIREZ, DELVIS SR (MD)
Entity type:Individual
Prefix:MR
First Name:DELVIS
Middle Name:
Last Name:RAMIREZ
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:DELVIS
Other - Middle Name:
Other - Last Name:RAMIREZ
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623
Mailing Address - Country:US
Mailing Address - Phone:787-851-2167
Mailing Address - Fax:787-851-2167
Practice Address - Street 1:CALLE CARBONELL #67
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-851-2167
Practice Address - Fax:787-851-2167
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3598208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
C79380Medicare UPIN
24678Medicare ID - Type Unspecified