Healthcare Provider Details

I. General information

NPI: 1346603776
Provider Name (Legal Business Name): ALVARO JULIAN RAMOS-RODRIGUEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CALLE DEL RIO
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

PO BOX 1299
MAYAGUEZ PR
00681-1299
US

V. Phone/Fax

Practice location:
  • Phone: 787-827-9393
  • Fax:
Mailing address:
  • Phone: 787-827-9393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number21193
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number21193
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: