Provider Demographics
NPI:1215186309
Name:RAMIREZ PEREZ, TANIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:L
Last Name:RAMIREZ PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TANIA
Other - Middle Name:L
Other - Last Name:RAMIREZ PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:313 AVE DOMENECH
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3531
Mailing Address - Country:US
Mailing Address - Phone:787-763-7423
Mailing Address - Fax:
Practice Address - Street 1:313 AVE DOMENECH
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3531
Practice Address - Country:US
Practice Address - Phone:787-763-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20061207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology