Provider Demographics
NPI:1679516363
Name:RAMIREZ RAMIREZ, RAINIER (MD)
Entity type:Individual
Prefix:
First Name:RAINIER
Middle Name:
Last Name:RAMIREZ RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CALLE UN
Mailing Address - Street 2:APT 118
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-8003
Mailing Address - Country:US
Mailing Address - Phone:787-269-5655
Mailing Address - Fax:787-269-5605
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:EDIFICIO CADILLA SUITE 405
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7022
Practice Address - Country:US
Practice Address - Phone:787-269-5655
Practice Address - Fax:787-269-5605
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD32323Medicare UPIN