Provider Demographics
NPI:1053854927
Name:RAMOS, BRUYANELIS (ND)
Entity Type:Individual
Prefix:
First Name:BRUYANELIS
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 7835
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9344
Mailing Address - Country:US
Mailing Address - Phone:787-361-1805
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 7835
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-9344
Practice Address - Country:US
Practice Address - Phone:787-361-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR45175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath