Provider Demographics
NPI:1033778816
Name:RAMOS, MARMIL (RN, MSN)
Entity Type:Individual
Prefix:
First Name:MARMIL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 EXT SAN LORENZO
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-3610
Mailing Address - Country:US
Mailing Address - Phone:787-659-3395
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 81 REPARTO SAN MIGUEL
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 133N00000X, 225XP0019X, 376G00000X, 261QP2000X
PR1376163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No376G00000XNursing Service Related ProvidersNursing Home Administrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR398359OtherCORPORATE REGISTRATION