BEGIN:VCARD VERSION:3.0 FN:Thomas Ramirez\, MD N:Ramirez;Thomas;;;MD TITLE:Emergency Medicine Physician TEL;TYPE=WORK,VOICE:+13017547500 URL:https://www.gale.care/providers/md/silver-spring/thomas-ramirez-md-1639 182975 NOTE:NPI 1639182975. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1639182975 END:VCARD