MEDICARE: MS. LUISA E RAMOS MPT, PT

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	225100000X	Physical Therapist	738	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9760083	OTHER	PR	HUMANA INS & HEALTH PLAN
2	223183	OTHER	PR	PREFERRED HEALTH

General Provider Information

NPI Number	:	1336133198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LUISA E RAMOS MPT, PT

Provider Business Mailing Address
First Line	:	M34 CALLE WILSON
Second Line	:	PARKVILLE URB
City	:	GUAYNABO
State	:	PR
Zip	:	00969-3950
Country	:	US
Telephone Number	:	787-731-4342
Fax Number	:	787-731-4342

Provider Business Practice Location Address
First Line	:	TRUJILLO ALTO PLZ
Second Line	:	TRUJILLO MEDICAL, SUITE 201
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-3600
Country	:	US
Telephone Number	:	787-283-2170
Fax Number	:	787-283-2170

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/08/2007

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Directions to “ MS. LUISA E RAMOS MPT, PT” Practice Location

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