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NPI Code Detail

MEDICARE: MRS. DEBORAH A ACOSTA RAMIREZ MD

MEDICARE: MRS. DEBORAH A ACOSTA RAMIREZ 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
12084P0800XPsychiatry Physician13291PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120684OTHERPRSSS MEDICAL INSURANCE

General Provider Information

NPI Number : 1275643959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH A ACOSTA RAMIREZ MD
Provider Business Mailing Address
First Line : PO BOX 365067
Second Line : DEPT OF PSYCHIATRY UNIV OF PR MEDICAL SERVICE CAMPUS
City : SAN JUAN
State : PR
Zip : 00936-5067
Country : US
Telephone Number : 787-765-4047
Fax Number : 787-766-0940
Provider Business Practice Location Address
First Line : UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS
Second Line : DEPT OF PSYCHIATRY
City : SAN JUAN
State : PR
Zip : 00926-5067
Country : US
Telephone Number : 787-765-4047
Fax Number : 787-766-0940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/10/2017

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