Doctor Name: | RAMON ADOLFO MADRID |
NPI Number: | 1235176637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301028439 |
Business Practice Address: | 2040 Monroe St Suite #209 Dearborn, MI - 481242921 |
Business Phone Number: | 3133593800 |
Business Fax Number: | 3132774100 |
Mailing Address: | 2040 Monroe St, Suite #209 DEARBORN |
State: | MI |
Postal Code: | 481242921 |
Phone Number: | 3133593800 |
Fax Number: | 3132774100 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301028439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |