Healthcare Provider Details

I. General information

NPI: 1679459747
Provider Name (Legal Business Name): DRA KATHYA E RAMOS VARGAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE JOSE D CANDELAS STE 104
MANATI PR
00674-5522
US

IV. Provider business mailing address

59 CALLE UNION HILLSVIEW PLAZA APT 107
GUAYNABO PR
00971-7401
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-5063
  • Fax: 225-310-8212
Mailing address:
  • Phone: 787-854-5063
  • Fax: 225-310-8212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KATHYA E RAMOS
Title or Position: PRESIDENTA
Credential: MD
Phone: 787-854-5063