Healthcare Provider Details

I. General information

NPI: 1205306511
Provider Name (Legal Business Name): GLADIANY RAMOS MARRERO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. #2 KM 26.2 BO. ESPINOSA
DORADO PR
00646
US

IV. Provider business mailing address

AR-21 CALLE RIO SONADOR URB. VALLE VERDE II
BAYAMON PR
00961
US

V. Phone/Fax

Practice location:
  • Phone: 787-883-5959
  • Fax: 787-883-6042
Mailing address:
  • Phone: 787-553-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6379
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: