Healthcare Provider Details

I. General information

NPI: 1508353244
Provider Name (Legal Business Name): MARTA IRENE RAMOS RIVERA RN, CWSCN, WOC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 CALLE EMAJAGUA
CAGUAS PR
00725-7530
US

IV. Provider business mailing address

406 CALLE EMAJAGUA
CAGUAS PR
00725-7530
US

V. Phone/Fax

Practice location:
  • Phone: 787-600-2068
  • Fax:
Mailing address:
  • Phone: 787-600-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number12621
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: