Healthcare Provider Details

I. General information

NPI: 1407455090
Provider Name (Legal Business Name): ANDRES RAMIREZ ARROYO I DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2020
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1476 AVE SAN IGNACIO
SAN JUAN PR
00921-4739
US

IV. Provider business mailing address

LOMAS DE SERRANIA CALLE VIOLETA 327
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-1647
  • Fax:
Mailing address:
  • Phone: 787-635-9174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number743
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number743
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: