Provider Demographics
NPI:1235488784
Name:RAMIREZ ACEVEDO, ROSA WILMA (RPH)
Entity Type:Individual
Prefix:
First Name:ROSA WILMA
Middle Name:
Last Name:RAMIREZ ACEVEDO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE SAN JOSE #3
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0186
Mailing Address - Country:US
Mailing Address - Phone:787-240-1580
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN JOSE #3
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-0186
Practice Address - Country:US
Practice Address - Phone:787-240-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist