Individual provider Active NPI

Jose Oscar Ramos, MD

  • General Practice Physician
  • Lares, PR
National Provider Identifier
1194990010
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17128 Issued in PR
Practice address
Edif Insurance Plaza 389
Suite 4
Lares, PR 00669-0000
Phone
(787) 897-9977
Fax
(787) 897-9977
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 17128 PR Primary

Addresses

Primary practice location

Edif Insurance Plaza 389
Suite 4
Lares, PR 00669-0000

Mailing address

HC03 Box 9846
Bo Pueblo
Lares, PR 00669
Phone (787) 317-3921

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
I20101025000723 PR Practitioner - General Practice 8820281660 Practice locations: Lares, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17128PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1194990010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC03 BOX 9846",
            "address_2": "BO PUEBLO",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-317-3921",
            "fax_number": "787-897-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF INSURANCE PLAZA 389",
            "address_2": "SUITE 4",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690000",
            "telephone_number": "787-897-9977",
            "fax_number": "787-897-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "JOSE",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

Verify at the official NPI Registry.