Provider Demographics
NPI:1043380967
Name:RAMOS, VILMA T (NUTRICIONISTA)
Entity Type:Individual
Prefix:MRS
First Name:VILMA
Middle Name:T
Last Name:RAMOS
Suffix:
Gender:F
Credentials:NUTRICIONISTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO PALMA REAL
Mailing Address - Street 2:271 EL VALLE LOS PRADOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-3208
Mailing Address - Country:US
Mailing Address - Phone:787-703-0806
Mailing Address - Fax:
Practice Address - Street 1:271PASEO PALMA REAL
Practice Address - Street 2:EL VALLE LOS PRADOS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-3208
Practice Address - Country:US
Practice Address - Phone:787-703-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1135133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR62288Medicare ID - Type Unspecified