BEGIN:VCARD VERSION:3.0 FN:Rene Ramirez\, MD N:Ramirez;Rene;;;MD TITLE:Surgery Physician TEL;TYPE=WORK,VOICE:+15104541000 URL:https://www.gale.care/providers/ca/san-leandro/rene-ramirez-md-16191463 88 NOTE:NPI 1619146388. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1619146388 END:VCARD