Healthcare Provider Details

I. General information

NPI: 1760549844
Provider Name (Legal Business Name): JOSEFINA PADRO-RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

B14 MARGINAL STREET URB. FLAMBOYAN
MANATI PR
00674
US

IV. Provider business mailing address

B9 CALLE PONCE VILLA AVILA
GUAYNABO PR
00969-4607
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-1546
  • Fax:
Mailing address:
  • Phone: 787-612-1286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number7264
License Number StatePR

VII. Legacy identifiers

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

# 1
Identifier7264
Identifier TypeOTHER
Identifier StatePR
Identifier IssuerSTATE LICENCE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: