Healthcare Provider Details

I. General information

NPI: 1255766853
Provider Name (Legal Business Name): ZULMA E RAMOS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PEDIATRIC CENTER HEALTH DEPARTMENT OF PR
PONCE PR
00730
US

IV. Provider business mailing address

N14 STREET EE31 GLENVIEW GARDENS
PONCE PR
00730
US

V. Phone/Fax

Practice location:
  • Phone: 787-842-5802
  • Fax:
Mailing address:
  • Phone: 787-413-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number436
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: