MEDICARE: DR. RAMON A PIZARRO FORNARIS M.D.

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	2085N0700X	Neuroradiology Physician	11021	PR

General Provider Information

NPI Number	:	1497862122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON A PIZARRO FORNARIS M.D.

Provider Business Mailing Address
First Line	:	TINTILLO HILLS 5062
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00966
Country	:	US
Telephone Number	:	787-249-2240
Fax Number	:

Provider Business Practice Location Address
First Line	:	#5062
Second Line	:	URB TINTILLO HILLS
City	:	GUAYNABO
State	:	PR
Zip	:	00966-2907
Country	:	US
Telephone Number	:	787-249-2240
Fax Number	:

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/22/2010

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