1972526424 NPI number — DR. RAMON A BASSA RAMIREZ JR. M.D.

Table of content: DR. RAMON A BASSA RAMIREZ JR. M.D. (NPI 1972526424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972526424 NPI number — DR. RAMON A BASSA RAMIREZ JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BASSA RAMIREZ
Provider First Name:
RAMON
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972526424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/13/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 6899
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00960-5899
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-785-8540
Provider Business Mailing Address Fax Number:
787-785-8540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE STA CRUZ EDIF 64
Provider Second Line Business Practice Location Address:
GALERIA MEDICA SUITE 103
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-785-8540
Provider Business Practice Location Address Fax Number:
787-785-8540
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  7682 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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