Provider Demographics
NPI:1679582415
Name:RAMIREZ-ORTIZ, RENE (MD)
Entity type:Individual
Prefix:MR
First Name:RENE
Middle Name:
Last Name:RAMIREZ-ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TORRE SAN FRANCISCO SUITE# 304
Mailing Address - Street 2:DE DIEGO AVE. 369
Mailing Address - City:SAN JUAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00923
Mailing Address - Country:UM
Mailing Address - Phone:787-250-7577
Mailing Address - Fax:787-250-7578
Practice Address - Street 1:369 CALLE DE DIEGO STE 304
Practice Address - Street 2:TORRE SAN FRANCISCO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3004
Practice Address - Country:US
Practice Address - Phone:787-250-7577
Practice Address - Fax:787-250-7578
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11958170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics