Provider Demographics
NPI:1528144268
Name:ALVARO RAMIREZ PHYSICIAN PC
Entity type:Organization
Organization Name:ALVARO RAMIREZ PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-684-7146
Mailing Address - Street 1:105 LEXINGTON AVE
Mailing Address - Street 2:10A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8963
Mailing Address - Country:US
Mailing Address - Phone:718-898-6108
Mailing Address - Fax:
Practice Address - Street 1:8818 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7737
Practice Address - Country:US
Practice Address - Phone:718-898-6108
Practice Address - Fax:718-335-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01828591Medicaid
NY02911Medicare ID - Type Unspecified