Healthcare Provider Details

I. General information

NPI: 1669390928
Provider Name (Legal Business Name): PRVN MED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 CALLE MENDEZ VIGO
DORADO PR
00646-4910
US

IV. Provider business mailing address

288 CALLE MENDEZ VIGO
DORADO PR
00646-4910
US

V. Phone/Fax

Practice location:
  • Phone: 787-918-7546
  • Fax:
Mailing address:
  • Phone: 787-918-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARITA RAMOS
Title or Position: CEO
Credential: MD
Phone: 787-918-7546