Provider Demographics
NPI:1245430636
Name:RAMIREZ, CARMEN M (MT)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CALLE CEIBA
Mailing Address - Street 2:URB. MONTE BELLO
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4217
Mailing Address - Country:US
Mailing Address - Phone:787-892-6125
Mailing Address - Fax:
Practice Address - Street 1:18 CALLE CEIBA
Practice Address - Street 2:URB. MONTE BELLO
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4217
Practice Address - Country:US
Practice Address - Phone:787-892-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0987246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist