1225298474 NPI number — R. SERGIO RAMIREZ, M.D., P.A.

Table of content: (NPI 1225298474)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225298474 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:
6
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:
1225298474
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2012
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 5 A
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:
956-583-2993
Provider Business Mailing Address Fax Number:
956-583-4525

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
816 E MAIN AVE
Provider Second Line Business Practice Location Address:
STE. H
Provider Business Practice Location Address City Name:
ALTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78573-6962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-583-2993
Provider Business Practice Location Address Fax Number:
956-583-4525
Provider Enumeration Date:
06/11/2008

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: 137317709 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com