Healthcare Provider Details

I. General information

NPI: 1285641118
Provider Name (Legal Business Name): DAPHNE RAMOS CEDENO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CALLE ARNALDO BRISTOL
GUAYAMA PR
00784-6935
US

IV. Provider business mailing address

PO BOX 242
PATILLAS PR
00723-0242
US

V. Phone/Fax

Practice location:
  • Phone: 787-592-7180
  • Fax:
Mailing address:
  • Phone: 787-460-7264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number13498
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: