Individual provider Active NPI

Mario R Ramirez, MD

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1811058324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5357 Issued in PR
Practice address
Torre Auxillo Mutuo Suite 815
Ave Ponce de Leon #735
San Juan, PR 00917-0815
Phone
(787) 764-2274
Fax
(787) 756-7367
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5357 PR Primary

Addresses

Primary practice location

Torre Auxillo Mutuo Suite 815
Ave Ponce de Leon #735
San Juan, PR 00917-0815

Mailing address

Paseo Mayor
C 35 Calle 10
San Juan, PR 00926-4670
Phone (787) 748-2733

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5357PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811058324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO MAYOR",
            "address_2": "C 35 CALLE 10",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264670",
            "telephone_number": "787-748-2733",
            "fax_number": "787-756-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILLO MUTUO SUITE 815",
            "address_2": "AVE PONCE DE LEON #735",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009170815",
            "telephone_number": "787-764-2274",
            "fax_number": "787-756-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "MARIO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.