Healthcare Provider Details

I. General information

NPI: 1144973231
Provider Name (Legal Business Name): GABRIELA RAMIREZ NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 01/31/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE PROFESOR AUGUSTO RODRIGUEZ COND. ASIA SUITE 300
SAN JUAN PR
00910-0838
US

IV. Provider business mailing address

PO BOX 8838
SAN JUAN PR
00910-0838
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: