Healthcare Provider Details

I. General information

NPI: 1841602463
Provider Name (Legal Business Name): MAGDA RAMOS REGISTER NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 CALLE DEL CARMEN W
FAJARDO PR
00738-4717
US

IV. Provider business mailing address

CALLE JUNIN #75 APT 1804 CONDOMINIO PUERTA DEL SOL
SAN JUAN PUERTO RICO
00926
UM

V. Phone/Fax

Practice location:
  • Phone: 787-860-3558
  • Fax: 787-860-3330
Mailing address:
  • Phone: 787-964-8303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number15925
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: