Provider Demographics
NPI:1043595598
Name:DRA. EILEEN RAMIREZ VILCHES C.S.P.
Entity Type:Organization
Organization Name:DRA. EILEEN RAMIREZ VILCHES C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-627-9040
Mailing Address - Street 1:D16 CALLE SAN ANTONIO
Mailing Address - Street 2:EL ALAMO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4507
Mailing Address - Country:US
Mailing Address - Phone:787-766-0065
Mailing Address - Fax:
Practice Address - Street 1:365 DE DIEGO TORRE SAN FRANCISCO
Practice Address - Street 2:SUITE 407
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-766-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCSP 138OtherCORPORATION PRIVATE PROFFESSIONAL