Provider Demographics
NPI:1235101486
Name:RAMOS, LUIS GERMAN (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:GERMAN
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 850001
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32885-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:352-674-4386
Practice Address - Street 1:795 PRIMERA BLVD STE 1001
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2191
Practice Address - Country:US
Practice Address - Phone:386-561-9967
Practice Address - Fax:844-815-1446
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9863207RR0500X
FL182441207RR0500X
FLME78186207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167720502Medicaid
FLE5573TOtherMEDICARE PTAN
TXH37556Medicare UPIN
TXTXB126628Medicare PIN