Individual provider Active NPI

Miguel A. De Jesus Ramos, M.D.

  • Surgery Physician
  • Fajardo, PR
National Provider Identifier
1609957117
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12253 Issued in PR
Practice address
194 KM 2 HM 4 Ave. General Valero
204
Fajardo, PR 00738
Phone
(787) 863-0505
Fax
(787) 801-0721
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12253 PR Primary

Addresses

Primary practice location

194 KM 2 HM 4 Ave. General Valero
204
Fajardo, PR 00738

Mailing address

Ave General Valero # 410
Torre Medica 403
Fajardo, PR 00738-3949
Phone (787) 655-4006

Other identifiers 2

IdentifierTypeStateIssuer
060192OtherPRCRUZ AZUL
88599OtherPRTRIPLE S

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
I20040416001168 PR Practitioner - General Surgery 3375538523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ponce School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Ave General Valero
Fajardo, PR 00738-3949
Phone (787) 655-4006

Ave General Valero
410 Torre Medica 403
Fajardo, PR 00738-3949

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision17
Removal of tissue11
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Surgical Group PSC CurrentSince Jul 17, 2013 Accepting new patients

Locations

410 Ave General Valero
Ste 403
Fajardo, PR 00738
Phone (787) 655-4006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1609957117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE GENERAL VALERO # 410",
            "address_2": "TORRE MEDICA 403",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-655-4006",
            "fax_number": "787-801-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 KM 2 HM 4 AVE. GENERAL VALERO",
            "address_2": "204",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-0505",
            "fax_number": "787-801-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RAMOS",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "12253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "060192",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88599",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.