Provider Demographics
NPI:1164640413
Name:RAMOS, CARMEN MILAGROS (TF)
Entity Type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:MILAGROS
Last Name:RAMOS
Suffix:
Gender:F
Credentials:TF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ZAIDA 906 COUNTRY CLUB
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-777-3535
Mailing Address - Fax:787-763-0550
Practice Address - Street 1:ZAIDA 906 COUNTRY CLUB
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-777-3535
Practice Address - Fax:787-763-0550
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist