Provider Demographics
NPI:1992728893
Name:RAMIREZ, HORACIO R (MD)
Entity type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:R
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8353 CULEBRA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1903
Mailing Address - Country:US
Mailing Address - Phone:210-706-2580
Mailing Address - Fax:210-706-2582
Practice Address - Street 1:8353 CULEBRA RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1903
Practice Address - Country:US
Practice Address - Phone:210-706-2580
Practice Address - Fax:210-706-2582
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00HK73OtherBCBS
TX098808172Medicaid
TX16840/155OtherPACIFICARE
TX2014369OtherAETNA
TX170998240924OtherHUMANA
TX16840/155OtherPACIFICARE
TX170998240924OtherHUMANA
TX00HK73Medicare PIN