Healthcare Provider Details

I. General information

NPI: 1336399898
Provider Name (Legal Business Name): RAMAVI SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 09/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON SUITE 407
SAN JUAN PR
00917-5022
US

IV. Provider business mailing address

735 AVE PONCE DE LEON SUITE 407
SAN JUAN PR
00917-5022
US

V. Phone/Fax

Practice location:
  • Phone: 787-773-0533
  • Fax: 787-773-0534
Mailing address:
  • Phone: 787-773-0533
  • Fax: 787-773-0534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number569
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number587
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number13276
License Number StatePR

VIII. Authorized Official

Name: DR. RAUL G VILA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-773-0533