Healthcare Provider Details

I. General information

NPI: 1619180353
Provider Name (Legal Business Name): CENTRO GINECO-OBSTETRICO ASHFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CALLE WASHINGTON SUITE 4
SAN JUAN PR
00907-1589
US

IV. Provider business mailing address

30 CALLE WASHINGTON SUITE 4
SAN JUAN PR
00907-1589
US

V. Phone/Fax

Practice location:
  • Phone: 787-722-3510
  • Fax: 787-722-4569
Mailing address:
  • Phone: 787-722-3510
  • Fax: 787-722-4569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EFRAIN RAMIREZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-722-3510