Healthcare Provider Details

I. General information

NPI: 1245970649
Provider Name (Legal Business Name): LORREINE RAMIREZ SANTIAGO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 129, KM 1.0 AV. SAN LUIS
ARECIBO PR
00613
US

IV. Provider business mailing address

300 AVE DOMENECH
SAN JUAN PR
00918-3509
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-7272
  • Fax:
Mailing address:
  • Phone: 787-765-6320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23277
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number23277
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: