1790860120 NPI number — THEMISTOCLES JULIAN RAMIREZ SCHON MD

Table of content: NIKUNJ PATEL RPH (NPI 1316215049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790860120 NPI number — THEMISTOCLES JULIAN RAMIREZ SCHON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ SCHON
Provider First Name:
THEMISTOCLES
Provider Middle Name:
JULIAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1790860120
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 68
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-832-5333
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE DR. RAMON EMETERIO BETANCES #18 NORTE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-0050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006

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: 207XS0106X , with the licence number:  2832 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0801X , with the licence number: 2832 , 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)

  • Identifier: 064732 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20000598 . This is a "ACAA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7090024 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9513 . This is a "SERVI MEDICAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 32832 . This is a "MED CARD SYSTEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8094 . This is a "INTL MEDICAL CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: RA94845 . This is a "TRIPLE S" identifier . This identifiers is of the category "OTHER".
  • Identifier: 202025 . This is a "PREFERRED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 402832 . This is a "QIA" identifier . This identifiers is of the category "OTHER".




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