Provider Demographics
NPI:1063471647
Name:RAMOS, MARITZA E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARITZA
Middle Name:E
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:URB. CIUDAD JARDIN
Mailing Address - Street 2:#164
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-9672
Mailing Address - Country:US
Mailing Address - Phone:787-712-0138
Mailing Address - Fax:787-795-6827
Practice Address - Street 1:URB. CIUDAD JARDIN
Practice Address - Street 2:#164
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-9672
Practice Address - Country:US
Practice Address - Phone:787-712-0138
Practice Address - Fax:787-795-6827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI04545Medicare UPIN