Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | F3587 | TX |
N | 207RI0011X | Interventional Cardiology | F3587 | TX |
NPI | 1003815549 |
---|---|
Provider Name | Jairo Ramirez |
First Address | San Antonio, TX 78229-3311 |
Second Address | San Antonio, TX 78201-2038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 09/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060061374 | RAILROAD MEDICARE (01) | TX |
136459808 | (05) | TX |
136459811 | (05) | TX |
136459812 | (05) | TX |
84223X | BCBS (01) | TX |
8CK579 | BCBS (01) | TX |
8CU320 | BCBS (01) | TX |
C20800 | (02) |