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DR. ALFREDO RAMIREZ M.D.
NPI 1528005162
Internal Medicine - Nephrology in Mayaguez, PR

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
CALLE MCKINLEY W, YAGUEZ PLAZA SUITE 208, MAYAGUEZ, PR 00680(787) 805-5435 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alfredo Ramirez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALFREDO RAMIREZ M.D. (NPI 1528005162) is an individual nephrology provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (12794) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital De La Concepcion, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528005162
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ALFREDO RAMIREZCredential: M.D.
Location AddressCALLE MCKINLEY W, YAGUEZ PLAZA SUITE 208Mayaguez, PR 00680-3988
Mailing AddressCalle Molinos, Haciendas Constancia # 741Hormigueros, PR 00660 · (787) 849-3057
Phone(787) 805-5435
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 3, 2018
✔ NPI 1528005162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 12794
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Other Identifiers 12

Other89500PR · Triple-s
Other601025PR · Medicare Y Mucho Mas
Other3348PR · American Health
Other36285 GPO 5026PR · Asociacion De Maestros
Other4812794PR · Uia
Other660629838PR · First Plus
Other9170088PR · Humana Health Plan
Other12974PR · Plan De Salud Bella Vista
Other100062PR · Cruz Azul De Pr
Other210041PR · Uti
Other660629838PR · Mcs Health Management Opt
OtherA026PR · International Medical Pla

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alfredo Ramirez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618070004
PECOS Enrollment IDI20070305000360
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
95 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital De La Concepcion

Acute Care Hospitals · San German, PR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number400021
LocationRoad Number 2 Km 173.4 Cain AltoSan German, PR 00683 · San German County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
30%1,684 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,943 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%1,943 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
29%1,943 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,943 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfredo Ramirez's NPI number?

The NPI number for Alfredo Ramirez is 1528005162. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Alfredo Ramirez located?

Alfredo Ramirez practices at Calle Mckinley W Yaguez Plaza Suite 208, Mayaguez, PR 00680. The listed phone number is (787) 805-5435.

What is Alfredo Ramirez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alfredo Ramirez enrolled in Medicare?

Yes. Alfredo Ramirez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alfredo Ramirez affiliated with any hospitals?

According to CMS data, Alfredo Ramirez is affiliated with Hospital De La Concepcion.

When was this NPI record last updated?

The NPPES record for Alfredo Ramirez was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.