Healthcare Provider Details

I. General information

NPI: 1689622672
Provider Name (Legal Business Name): RAMON H. PARRILLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE ROAD # 787 KM. 1.5 FIRST HOSPITAL PANAMERICANO
CIDRA PR
00739-1400
US

IV. Provider business mailing address

PO BOX 1400
CIDRA PR
00739-1400
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-8075
  • Fax: 787-739-5544
Mailing address:
  • Phone: 787-739-8075
  • Fax: 787-739-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number4749
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: