Provider Demographics
NPI:1306844758
Name:RAMOS, AILEEN (MT,ASCP)
Entity Type:Individual
Prefix:MRS
First Name:AILEEN
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MT,ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1885
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1885
Mailing Address - Country:US
Mailing Address - Phone:787-265-2336
Mailing Address - Fax:787-834-6058
Practice Address - Street 1:NESTOR TORRES
Practice Address - Street 2:#31
Practice Address - City:POBLADO ROSARIO
Practice Address - State:PR
Practice Address - Zip Code:00636-1885
Practice Address - Country:US
Practice Address - Phone:787-265-2336
Practice Address - Fax:787-834-6058
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6340246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031244Medicare PIN