Healthcare Provider Details

I. General information

NPI: 1780877092
Provider Name (Legal Business Name): YURIZAM RAMIREZ OJEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROOSEVELT AVENUE 525
SAN JUAN PR
00917-2710
US

IV. Provider business mailing address

ROOSEVELT AVENUE # 525
SAN JUAN PR
00917-2710
US

V. Phone/Fax

Practice location:
  • Phone: 787-251-5285
  • Fax:
Mailing address:
  • Phone: 787-251-5285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number018199
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: