Provider Demographics
NPI:1720515828
Name:SCHAFER, RAMON JR (DO)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:SCHAFER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:PINEHILL
Mailing Address - State:NM
Mailing Address - Zip Code:87357-0310
Mailing Address - Country:US
Mailing Address - Phone:505-775-3271
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 310
Practice Address - Street 2:
Practice Address - City:PINEHILL
Practice Address - State:NM
Practice Address - Zip Code:87357-0310
Practice Address - Country:US
Practice Address - Phone:505-775-3271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDO2023-1058207Q00000X
AZ008098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM46239731Medicaid