MEDICARE: MIRTA N RAMIREZ

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	183500000X	Pharmacist	1685	PR

General Provider Information

NPI Number	:	1992338313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRTA N RAMIREZ

Provider Business Mailing Address
First Line	:	CALLE 1 D1
Second Line	:	PARQUES DE SAN IGNACIO
City	:	SAN JUAN
State	:	PR
Zip	:	00921
Country	:	US
Telephone Number	:	787-375-8280
Fax Number	:	787-765-1576

Provider Business Practice Location Address
First Line	:	251 CALLE ROBLE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00925-3104
Country	:	US
Telephone Number	:	787-765-1211
Fax Number	:	787-765-1576

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

Provider Enumeration Date	:	02/13/2020
Last Update Date	:	02/13/2020

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Directions to “ MIRTA N RAMIREZ ” Practice Location

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