Healthcare Provider Details

I. General information

NPI: 1568140119
Provider Name (Legal Business Name): WEST OB-GYN PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 AVE HOSTOS
MAYAGUEZ PR
00682-1560
US

IV. Provider business mailing address

PO BOX 1087
MANATI PR
00674-1087
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-0444
  • Fax:
Mailing address:
  • Phone: 787-306-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM ANDRES RAMIREZ
Title or Position: AGENTE RESIDENTE
Credential: MD
Phone: 787-306-0444