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General NPI Number Information
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NPI Number | 1629118567
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Entity Type | Individual
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Provider Name | GRIZELLE M RAMIREZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | URB VILLA REAL CALLE 2 B-10 SUITE 3
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-585-4928
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Fax |
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Provider Business Mailing Address
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Address Line | 278 ESTANCIAS DE IMBERY
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City | BARCELONETA
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State | PR
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Zip | 00617-9724
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Country | US
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Telephone | 787-858-4925
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 11408
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License Number State | PR
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