Healthcare Provider Details

I. General information

NPI: 1275520900
Provider Name (Legal Business Name): RAMON A RAMIREZ RONDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIF CENTRO PLAZA OF4B MENDEZ VIGO 63 E
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

EDIF CENTRO PLAZA OF4B MENDEZ VIGO 63 E
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-833-6270
  • Fax: 787-833-4233
Mailing address:
  • Phone: 787-833-6270
  • Fax: 787-833-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number6095
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: