Healthcare Provider Details

I. General information

NPI: 1295932259
Provider Name (Legal Business Name): MS. MARI C. LOEZ-CEPERO RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE SANTA CRUZ EDFICIO SANTA CRUZ, OFICINA 102
BAYAMON PR
00961
US

IV. Provider business mailing address

DK13 CALLE LLANURAS RIO HONDO IV
BAYAMON PR
00961-3308
US

V. Phone/Fax

Practice location:
  • Phone: 787-640-6152
  • Fax:
Mailing address:
  • Phone: 787-640-6152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: