Provider Demographics
NPI:1427116797
Name:RAMIREZ FERRER, LUIS O SR (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:O
Last Name:RAMIREZ FERRER
Suffix:SR
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:PO BOX 620
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0620
Mailing Address - Country:US
Mailing Address - Phone:787-806-1833
Mailing Address - Fax:787-834-8383
Practice Address - Street 1:AVE HOSTOS # 410
Practice Address - Street 2:BO SABALO CARR # 2
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6353
Practice Address - Country:US
Practice Address - Phone:787-806-1833
Practice Address - Fax:787-834-8383
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4610208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
06530OtherBLUE CARD
06530OtherCRUZ ARU
660574003OtherMEDICAL CARD REFORMA
PE2111OtherPAN AMERICAN LIFE
660574003OtherCOSVIMED
20895OtherAMPR
3134OtherAMERICAN HEALTH
5165OtherINTERNATIONAL MEDICAL CAR
660574003OtherCIGNA
660574003OtherTRICARE
660574003OtherGHI
660574003OtherMCS CLASSICARE
660374003OtherSERI BELLA LDH
660574003OtherHUMANA MILITARY
346771OtherMEDICAL CARD SYSTEM
660574003OtherAETNA
660574003OtherFIRST PLUS MEDICARE
660574003OtherMMM HEALTHCARE
660574003OtherCIGNA
660574003OtherFIRST PLUS MEDICARE