Individual provider Active NPI

Edrick N Ramirez, MD

  • Family Medicine Physician
  • Quebradillas, PR
National Provider Identifier
1972655447
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14450 Issued in PR
Practice address
42710 Carrz
Quebradillas, PR 00678
Phone
(787) 895-6300
Fax
(787) 897-4725
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14450 PR Primary

Addresses

Primary practice location

42710 Carrz
Quebradillas, PR 00678

Mailing address

PO Box 938
Hatillo, PR 00659
Phone (787) 895-6300

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
I20031121000494 PR Practitioner - General Practice 9638073679 Reassigns benefits to 1 organization
Practice locations: Quebradillas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42710 Carr
Suite 2
Quebradillas, PR 00678-9326

42710 Carr
Suite 2
Quebradillas, PR 00678-9441
Phone (787) 940-4685

Carr 2 KM 96
Quebradillas, PR 00678
Phone (787) 895-6300

PO Box
Hatillo, PR 00659

PO Box
Suite 938
Hatillo, PR 00659-0938

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14450PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quebradillas Medical Center PSC CurrentSince Sep 12, 2019 Accepting new patients
Quebradillas Medical Center PSC Past Accepting new patients
Laboratorio Clinico Las Mercedes Inc Past Accepting new patients

Locations

6429 Carr 2
Quebradillas, PR 00678

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1972655447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-895-6300",
            "fax_number": "787-897-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42710 CARRZ",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-6300",
            "fax_number": "787-897-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "EDRICK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.