Healthcare Provider Details

I. General information

NPI: 1275056020
Provider Name (Legal Business Name): ELSIE CASTRO RAMIREZ NURSE ANESTHETIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CALLE NENADICH E
MAYAGUEZ PR
00680-4023
US

IV. Provider business mailing address

870 QUAYE LAKE CIR APT 102
WELLINGTON FL
33411-5039
US

V. Phone/Fax

Practice location:
  • Phone: 939-642-0241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9461694
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: