Organization Active NPI

Dra Shirley Ramos Perez CSP

  • Family Medicine Physician
  • Arecibo, PR
National Provider Identifier
1194196998
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18079 Issued in PR
Legal business name
DRA SHIRLEY RAMOS PEREZ CSP
Practice address
Calle 490 KM 0.5, Hato Arriba
Arecibo, PR 00612
Phone
(787) 313-4359
Fax
(787) 680-7450
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Dr. Shirley Ramos, M.D.NPI 1013204981
Title
Family Medicine
Phone
(787) 313-4359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 18079 PR Primary

Addresses

Primary practice location

Calle 490 KM 0.5, Hato Arriba
Arecibo, PR 00612

Mailing address

PO Box 3623
Arecibo, PR 00613-3623
Phone (787) 313-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170822000314 PR Part B Supplier - Clinic/Group Practice 6709158082 Receives reassigned benefits from 1 practitioner
Practice locations: Lares, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1194196998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3623",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133623",
            "telephone_number": "787-313-4359",
            "fax_number": "787-680-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 490 KM 0.5, HATO ARRIBA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-313-4359",
            "fax_number": "787-680-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA SHIRLEY RAMOS PEREZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "FAMILY MEDICINE",
        "authorized_official_telephone_number": "787-313-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "18079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.