MEDICARE: DR. IVETTE RAMIREZ-CEBOLLERO 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	208D00000X	General Practice Physician	5614	PR

General Provider Information

NPI Number	:	1679614283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IVETTE RAMIREZ-CEBOLLERO MD

Provider Business Mailing Address
First Line	:	PO BOX 1795
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-1795
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 AVE HOSTOS
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1560
Country	:	US
Telephone Number	:	787-265-3952
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	02/25/2025

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