Provider Demographics
NPI:1003201088
Name:RAMIREZ-CEPEDA, NIOVIZ ESTELA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NIOVIZ
Middle Name:ESTELA
Last Name:RAMIREZ-CEPEDA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BM15 CALLE 111
Mailing Address - Street 2:JARDINES DE COUNTRY CLUB
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-203-3127
Mailing Address - Fax:
Practice Address - Street 1:COND ASHFORD PLZ # 1130
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-1102
Practice Address - Country:US
Practice Address - Phone:787-203-3127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist