MEDICARE: GILBERTO RAMOS & CARMEN ALVAREZ

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	261QR0206X	Mammography Clinic/Center	6199	PR

General Provider Information

NPI Number	:	1184747107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILBERTO RAMOS & CARMEN ALVAREZ

Provider Business Mailing Address
First Line	:	PO BOX 8495
Second Line	:	FERNANDEZ JUNCO STATION
City	:	SAN JUAN
State	:	PR
Zip	:	00910-0495
Country	:	US
Telephone Number	:	787-253-7070
Fax Number	:	787-791-5768

Provider Business Practice Location Address
First Line	:	10 AVE LAGUNA
Second Line	:	SUITE L106 A
City	:	CAROLINA
State	:	PR
Zip	:	00979-6400
Country	:	US
Telephone Number	:	787-253-7070
Fax Number	:	787-791-5768

Authorized Official
Title or Position	:	RADIOLOGIST CO-OWNER
Name	:	GILBERTO RAMOS
Credential	:	MD
Telephone Number	:	787-253-7070

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	09/19/2012

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