Provider Demographics
NPI:1285673475
Name:RAMIREZ, MIRIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:J
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:J
Other - Last Name:RAMIREZ PLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 365006
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5006
Mailing Address - Country:US
Mailing Address - Phone:787-661-0007
Mailing Address - Fax:
Practice Address - Street 1:508 CALLE RAFAEL LAMAR
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2653
Practice Address - Country:US
Practice Address - Phone:787-661-0007
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3588207V00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3588OtherMEDICAL STATE LICENSE