Provider Demographics
NPI:1083311237
Name:RAMOS VAZQUEZ, KARLEEN
Entity Type:Individual
Prefix:
First Name:KARLEEN
Middle Name:
Last Name:RAMOS VAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 8669
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-8832
Mailing Address - Country:US
Mailing Address - Phone:787-242-3537
Mailing Address - Fax:
Practice Address - Street 1:CARR 173 KM 20.4 BO SUMIDERO SEC LA CAPILLA
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-8832
Practice Address - Country:US
Practice Address - Phone:787-242-3537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist