Healthcare Provider Details

I. General information

NPI: 1104875350
Provider Name (Legal Business Name): RAMON A. SIFRE RIVERA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 AVE ROBERTO SANCHEZ VILELLA
SAN JUAN PR
00924-2585
US

IV. Provider business mailing address

1357 AVE ASHFORD STE 2
SAN JUAN PR
00907-1403
US

V. Phone/Fax

Practice location:
  • Phone: 787-257-1305
  • Fax: 787-257-1305
Mailing address:
  • Phone: 787-257-1305
  • Fax: 787-257-1305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number8406
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: