Healthcare Provider Details
I. General information
NPI: 1689661894
Provider Name (Legal Business Name): EUGENIA M. GALINDO-RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/03/2005
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201, GAUTIER BENITEZ AVE. CONSOLIDATED MEDICAL PLAZA, SUITE 307
CAGUAS PR
00725
US
IV. Provider business mailing address
PO BOX 6628
CAGUAS PR
00726-6628
US
V. Phone/Fax
- Phone: 787-746-7441
- Fax: 787-746-3190
- Phone: 787-746-7441
- Fax: 787-746-3190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | 11573 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: