Healthcare Provider Details

I. General information

NPI: 1114130564
Provider Name (Legal Business Name): JOSUE RAUL RAMOS-GIRAU CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E 25TH ST
HIALEAH FL
33013-3814
US

IV. Provider business mailing address

PO BOX 141
BARCELONETA PR
00617-0141
US

V. Phone/Fax

Practice location:
  • Phone: 787-403-1153
  • Fax:
Mailing address:
  • Phone: 787-403-1153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number51801
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: