Individual
ROQUE S RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14897 CLAYTON RD, STE 100, CHESTERFIELD, MO 63017-7887
(636) 391-1706
(636) 391-1201
Mailing address
2023 BROOK HILL LN, CHESTERFIELD, MO 63017-7944
(636) 391-1706
(636) 391-1201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
100898
MO
207R00000X
Internal Medicine Physician
Primary
100898
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089824
—
IL
01
—
P00447284
RR MEDICARE
IL
Enumeration date
06/06/2006
Last updated
07/14/2020
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