Healthcare Provider Details

I. General information

NPI: 1881728137
Provider Name (Legal Business Name): GILBERTO RAMOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 ASHORD AVENUE
SAN, JUAN PR
00907
US

IV. Provider business mailing address

1450 ASHORD AVENUE
SAN, JUAN PR
00907
US

V. Phone/Fax

Practice location:
  • Phone: 787-723-4664
  • Fax: 787-722-8495
Mailing address:
  • Phone: 787-723-4664
  • Fax: 787-722-8495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number6199
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: