Provider Demographics
NPI:1164545331
Name:MENDEZ-RAMOS, NANCY
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:MENDEZ-RAMOS
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 1 BOX 4681
Mailing Address - Street 2:BO. PUETOS
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9607
Mailing Address - Country:US
Mailing Address - Phone:787-820-5368
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 4681
Practice Address - Street 2:BO. PUETOS
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9607
Practice Address - Country:US
Practice Address - Phone:787-820-5368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6210183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6210OtherTECNICO FARMACIA