Healthcare Provider Details

I. General information

NPI: 1508069204
Provider Name (Legal Business Name): MARIA R RAMOS-FERNANDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 06/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL DR. FEDERICO TRILLA CARR. #3 KM. 8.3
CAROLINA PR
00985
US

IV. Provider business mailing address

HOSPITAL DR FEDERICO TRILLA CARR 3 KM 8.3
CAROLINA PR
00985
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1118
  • Fax:
Mailing address:
  • Phone: 787-757-1118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17598
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number17598
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: