Provider Demographics
NPI:1174857247
Name:RAMOS-VARGAS, KATHYA EDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHYA
Middle Name:EDITH
Last Name:RAMOS-VARGAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:59 CALLE UNION
Mailing Address - Street 2:HILLSVIEW PLAZA APT 107
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-7402
Mailing Address - Country:US
Mailing Address - Phone:787-647-3098
Mailing Address - Fax:225-310-8212
Practice Address - Street 1:CALLE JOSE CANDELAS #1 MANATI MEDICAL PLAZA
Practice Address - Street 2:SUITE 104
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5507
Practice Address - Country:US
Practice Address - Phone:787-854-5063
Practice Address - Fax:225-310-8212
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2021-03-08
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Provider Licenses
StateLicense IDTaxonomies
PR18734204R00000X, 2081N0008X
FLME128372208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHX960ZMedicare PIN