Provider Demographics
NPI:1215026190
Name:RAMOS RODRIGUEZ, LUIS E (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:E
Last Name:RAMOS RODRIGUEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PMB 247
Mailing Address - Street 2:#19 1353 ROAD
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2700
Mailing Address - Country:US
Mailing Address - Phone:787-740-3565
Mailing Address - Fax:787-740-3625
Practice Address - Street 1:73 CALLE SANTA CRUZ STE 102
Practice Address - Street 2:EDIFICIO MEDICO SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6911
Practice Address - Country:US
Practice Address - Phone:787-740-3565
Practice Address - Fax:787-740-3625
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-09-30
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Provider Licenses
StateLicense IDTaxonomies
PR8928207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082130Medicare PIN