Individual provider Active NPI

Michael Alonso Ramirez, MD

  • Pediatrics Physician
  • Cannon Afb, NM
National Provider Identifier
1033865258
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101284121 Issued in VA
Practice address
104 W D. L. Ingram Ave, Cannon Afb, NM 88101
Cannon Afb, NM 88101
Phone
(575) 784-2778
NPI assigned
Feb 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101284121 VA Primary
Military Health Care Provider 171000000X 0101284121 VA

Addresses

Primary practice location

104 W D. L. Ingram Ave, Cannon Afb, NM 88101
Cannon Afb, NM 88101

Mailing address

104 W D. L. Ingram Ave
Cannon Air Force Base, NM 88101
Phone (575) 784-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101284121VAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: mramirez407639@christushealth.direct-ci.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1033865258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W D. L. INGRAM AVE",
            "city": "CANNON AIR FORCE BASE",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-784-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W D. L. INGRAM AVE, CANNON AFB, NM 88101",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-784-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MICHAEL",
        "middle_name": "ALONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101284121",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101284121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon Afb, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.