Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 036111837 | IL |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A101070 | CA |
NPI | 1003829417 |
---|---|
Provider Name | Dr. Alfredo Rafael Ramirez |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92134-1403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 06/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD0000 | (02) | CA |