Healthcare Provider Details

I. General information

NPI: 1093965931
Provider Name (Legal Business Name): REBECCA RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA RAMOS MD

II. Dates (important events)

Enumeration Date: 09/29/2008
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND AMERICAS HOSPITAL UNIVERSITARIO PEDIATRICO DR. ANGEL ORTIZ
SAN JUAN PR
00909-2152
US

IV. Provider business mailing address

PO BOX 2074
VEGA ALTA PR
00692-2074
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-3535
  • Fax:
Mailing address:
  • Phone: 787-647-2873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number18147
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: