Healthcare Provider Details

I. General information

NPI: 1538082094
Provider Name (Legal Business Name): RAMON ARMANDO GRATEROLE SERRANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5429 CALLE SURCO
PONCE PR
00728-2444
US

IV. Provider business mailing address

5429 CALLE SURCO
PONCE PR
00728-2444
US

V. Phone/Fax

Practice location:
  • Phone: 787-677-3857
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number3352
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: