Healthcare Provider Details

I. General information

NPI: 1629636279
Provider Name (Legal Business Name): CARLOS ALBERTO RAMIREZ DE ARELLANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 CARR 891
COROZAL PR
00783-2313
US

IV. Provider business mailing address

182 AVE LOS FLAMBOYANES URB HYDE PARK, APARTMENT NUMBER 7
SAN JUAN PR
00927
US

V. Phone/Fax

Practice location:
  • Phone: 787-859-2560
  • Fax:
Mailing address:
  • Phone: 787-212-0126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number25059
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: