Healthcare Provider Details

I. General information

NPI: 1902971559
Provider Name (Legal Business Name): RAMON D LLAMAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CUMBERLAND HILL ROAD SUITE 210
WOONSOCKET RI
02895
US

IV. Provider business mailing address

20 CUMBERLAND HILL ROAD SUITE 210
WOONSOCKET RI
02895
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-3080
  • Fax: 401-762-4973
Mailing address:
  • Phone: 401-767-3080
  • Fax: 401-762-4973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD04319
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: