Provider Demographics
NPI:1265630172
Name:RIVERA-RAMOS, LUIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:J
Last Name:RIVERA-RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CALLE JUAN C. BORBON
Mailing Address - Street 2:SUITE 67 PMB 314
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5375
Mailing Address - Country:US
Mailing Address - Phone:787-395-7072
Mailing Address - Fax:787-395-7074
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:EDIF. ARTURO CADILLA SUITE 406
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-395-7072
Practice Address - Fax:787-395-7074
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR168302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology