1265512370 NPI number — R. SERGIO RAMIREZ M.D., P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265512370 NPI number — R. SERGIO RAMIREZ M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R. SERGIO 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:
1265512370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 S BRYAN RD
Provider Second Line Business Mailing Address:
SUITE 5A
Provider Business Mailing Address City Name:
MISSION
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78572-6204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-585-6611
Provider Business Mailing Address Fax Number:
956-585-1822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 S BRYAN RD
Provider Second Line Business Practice Location Address:
SUITE 5A
Provider Business Practice Location Address City Name:
MISSION
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78572-6204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-585-6611
Provider Business Practice Location Address Fax Number:
956-585-1822
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ
Authorized Official First Name:
ROGELIO
Authorized Official Middle Name:
SERGIO
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
956-585-6611

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 307576402 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8S1881 . This is a "BLUE CROSS BLUE SHILDS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1373177-08 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 081851001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120273 . This is a "SUPIRIOR HEALTH PLAN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1373177-09 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 079605401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 307576401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 307576403 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com