MEDICARE: DR. WANDA RAMOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9981	PR

General Provider Information

NPI Number	:	1154329605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WANDA RAMOS MD

Provider Business Mailing Address
First Line	:	PMB #146
Second Line	:	5900 ISLA VERDE AVE STE 2
City	:	CAROLINA
State	:	PR
Zip	:	00979-5746
Country	:	US
Telephone Number	:	787-722-0445
Fax Number	:	787-723-4415

Provider Business Practice Location Address
First Line	:	359 AVE DE DIEGO 501
Second Line	:
City	:	SANTURCE
State	:	PR
Zip	:	00909-1740
Country	:	US
Telephone Number	:	787-722-0445
Fax Number	:	787-723-4415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	02/13/2017

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Directions to “ DR. WANDA RAMOS MD” Practice Location

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