Provider Demographics
NPI:1164551602
Name:VARGAS-RAMOS, IRMA M
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:M
Last Name:VARGAS-RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 GRAN BULEVAR PASEOS
Mailing Address - Street 2:SUITE 112 MSO 271
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-688-5301
Mailing Address - Fax:
Practice Address - Street 1:CARR # 2 KM. 11.7
Practice Address - Street 2:2ND FLOOR AMBULATORY OPERATING ROOM
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-620-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11033207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology