Active NPI
Angelique M. Ramirez, MD
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1720063290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8097
- Practice address
- 3310 Live Oak St
Copc Administration
Dallas, TX 75204-6153 - Phone
- (214) 590-0100
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8097 | TX | Primary |
Addresses
Primary practice location
3310 Live Oak St
Copc Administration
Dallas, TX 75204-6153
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139127804 | Medicaid | TX | |
| 139127808 | Medicaid | TX | |
| 139127814 | Medicaid | TX | |
| 139127803 | Medicaid | TX | |
| 139127813 | Medicaid | TX | |
| 139127812 | Medicaid | TX | |
| 139127802 | Medicaid | TX | |
| 139127810 | Medicaid | TX | |
| 139127805 | Medicaid | TX | |
| 139127807 | Medicaid | TX | |
| 139127806 | Medicaid | TX | |
| 139127809 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8097 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1720063290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 LIVE OAK ST",
"address_2": "COPC ADMINISTRATION",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046153",
"telephone_number": "214-590-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "ANGELIQUE",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127804",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127808",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127814",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127813",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127812",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127810",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127807",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127806",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139127809",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.