Provider Demographics
NPI:1710408869
Name:RAMIREZ FERNANDEZ, RAFAEL ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:ENRIQUE
Last Name:RAMIREZ FERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5720 VALLEY LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-4306
Mailing Address - Country:US
Mailing Address - Phone:346-714-2680
Mailing Address - Fax:
Practice Address - Street 1:2930 N STANTON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2511
Practice Address - Country:US
Practice Address - Phone:915-271-4571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT7704207L00000X
GA009676207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology