1235449968 NPI number — SALVACION D. RAMIREZ. M.D. P.A.

Table of content: (NPI 1235449968)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235449968 NPI number — SALVACION D. RAMIREZ. M.D. P.A.

Organization/Personal Information

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

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:
1235449968
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7845 OAKWOOD RD
Provider Second Line Business Mailing Address:
SUITE 307
Provider Business Mailing Address City Name:
GLEN BURNIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21061-4280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-760-4888
Provider Business Mailing Address Fax Number:
410-760-1870

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7845 OAKWOOD RD
Provider Second Line Business Practice Location Address:
SUITE 307
Provider Business Practice Location Address City Name:
GLEN BURNIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21061-4280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-760-4888
Provider Business Practice Location Address Fax Number:
410-760-1870
Provider Enumeration Date:
10/15/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ
Authorized Official First Name:
SALVACION
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
INTERNAL MEDICINE
Authorized Official Telephone Number:
410-760-4888

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D0038912 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 817867 . This is a "MAMSI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 4324538 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1911S . This is a "BLUE CROSS BLUE MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 088741200 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10226441 . This is a "AMERICAID" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: DQ6988 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0401232 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: E4430001 . This is a "BLUE CROSS DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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