Individual provider Active NPI

Ivan Gilberto Ramirez-Hernandez, M.D.

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1700219375
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19892 Issued in PR
Practice address
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone
(787) 620-4747
NPI assigned
Aug 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R7859 TX
Diagnostic Radiology Physician 2085R0202X 19892 PR Primary

Addresses

Primary practice location

70 Calle Santa Cruz
Bayamon, PR 00961-7052

Mailing address

70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 620-4747

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 450-9000

Other practice location 2

7703 Floyd Curl Dr # 7800
San Antonio, TX 78229
Phone (210) 567-0512

Other practice location 3

7703 Floyd Curl Dr # 7800
San Antonio, TX 78229
Phone (210) 567-0512

Other identifiers 2

IdentifierTypeStateIssuer
389713402OtherTXCSHCN
389713401MedicaidTX

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
I20190610000185 PR Practitioner - Diagnostic Radiology 4880946730 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologia del Turabo, C.S.P.Group PAC ID 7810134699, 11 clinicians
Sono X Ray Radiology GroupGroup PAC ID 6406750769, 15 clinicians
Servicios Medicos Universitarios IncGroup PAC ID 5395838882, 5 clinicians

Practice addresses (Care Compare)

50 Ave Luis Munoz
Suite 209
Caguas, PR 00725-3981
Phone 7877461688240

50 Ave Luis Munoz Marin
Suite 107 108
Caguas, PR 00725-3975
Phone (787) 746-1688

7200 Ave 65 Infanteria
Carolina, PR 00985-5575
Phone (787) 757-1800

Hospital & facility affiliations

  • Hospital Upr, Dr Federico Trilla Hospital, Carolina, PR, CCN 400112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19892PRMDDiagnostic Radiology Physician
R7859TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ponce Neuroradiological Services, PSC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 30, 2018 Accepting new patients
Radiologia del Turabo, C.S.P. Diagnostic Radiology CurrentSince May 19, 2022 Accepting new patients
Servicios Medicos Universitarios Inc Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Mar 25, 2022 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Mar 25, 2022 Accepting new patients
Sono X Ray Radiology Group Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 30, 2018 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

7200 Ave 65 Infanteria
Carolina, PR 00985

Organizations & group practices 8

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

Hospital & facility affiliations 2

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": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1700219375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617052",
            "telephone_number": "787-620-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617052",
            "telephone_number": "787-620-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7703 Floyd Curl Dr # 7800",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-567-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7703 Floyd Curl Dr # 7800",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-567-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ-HERNANDEZ",
        "first_name": "IVAN",
        "middle_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-18",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R7859",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "389713402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389713401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.