Individual provider Active NPI

Ruben A Perez Ramirez, M,D

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1124041041
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9306 Issued in PR
Practice address
Ave.Pedro Albizu Campos
Urb. la Hacienda
Guayama, PR 00784
Phone
(787) 864-4300
Fax
(787) 864-1070
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9306 PR Primary

Addresses

Primary practice location

Ave.Pedro Albizu Campos
Urb. la Hacienda
Guayama, PR 00784

Mailing address

PO Box 2075
Guayama, PR 00785-2075
Phone (787) 864-5846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000645 PR Practitioner - General Practice 6608023734 Practice locations: Guayama, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9306PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1124041041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2075",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852075",
            "telephone_number": "787-864-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE.PEDRO ALBIZU CAMPOS",
            "address_2": "URB. LA HACIENDA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4300",
            "fax_number": "787-864-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RAMIREZ",
        "first_name": "RUBEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M,D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.