Basic Information
Provider Information
NPI: 1285801837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: ENRIQUE
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 1300 PICCARD DRIVE
Address2: SUITE 202 EMERGENCY MEDICINE ASSOCIATES
City: ROCKVILLE
State: MD
PostalCode: 208504303
CountryCode: US
TelephoneNumber: 3019217900
FaxNumber: 3019217915
Practice Location
Address1: 8700 SUDLEY ROAD
Address2: PRINCE WILLIAM HOSPITAL
City: MANASSAS
State: VA
PostalCode: 20110
CountryCode: US
TelephoneNumber: 7033698337
FaxNumber: 7033698868
Other Information
ProviderEnumerationDate: 05/13/2008
LastUpdateDate: 05/13/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X0101243170VAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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