Healthcare Provider Details

I. General information

NPI: 1992850614
Provider Name (Legal Business Name): RAMON OCHOA-SALCEDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 03/07/2023
Certification Date: 05/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

O7 CALLE LAS AGUILAS TIERRALTA II
GUAYNABO PR
00969-3243
US

IV. Provider business mailing address

O7 CALLE LAS AGUILAS TIERRALTA II
GUAYNABO PR
00969-3243
US

V. Phone/Fax

Practice location:
  • Phone: 787-789-4453
  • Fax:
Mailing address:
  • Phone: 787-789-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number12397
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number12397
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: