Healthcare Provider Details

I. General information

NPI: 1699741926
Provider Name (Legal Business Name): LUZ ENEIDA RAMOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUZ ENEIDA RAMOS-RAMOS M.D.

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. SANTA ROSA, 22 STREET BLOCK 47-19
BAYAMON PR
00959
US

IV. Provider business mailing address

URB. SANTA ROSA, 22 STREET BLOCK 47-19
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 787-466-2623
  • Fax:
Mailing address:
  • Phone: 787-466-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number7626
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: