Provider Demographics
NPI:1154088870
Name:GONZALEZ PEREZ, RAMSES V
Entity Type:Individual
Prefix:
First Name:RAMSES
Middle Name:V
Last Name:GONZALEZ PEREZ
Suffix:
Gender:M
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 56 BOX 4823
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-8664
Mailing Address - Country:US
Mailing Address - Phone:787-963-8231
Mailing Address - Fax:
Practice Address - Street 1:606 AVE TITO CASTRO STE 113
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0203
Practice Address - Country:US
Practice Address - Phone:787-221-3978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR807111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner