Healthcare Provider Details

I. General information

NPI: 1942258249
Provider Name (Legal Business Name): BASILIA C RAMIREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CUMBERLAND HILL RD
WOONSOCKET RI
02895-4854
US

IV. Provider business mailing address

20 CUMBERLAND HILL RD
WOONSOCKET RI
02895-4854
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-5200
  • Fax: 401-766-4075
Mailing address:
  • Phone: 401-766-5200
  • Fax: 401-766-4075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberRI 04733
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: