Provider Demographics
NPI:1346849387
Name:RODRIGUEZ ALVAREZ, RAMARI M
Entity Type:Individual
Prefix:
First Name:RAMARI
Middle Name:M
Last Name:RODRIGUEZ ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COUNTRY CLUB
Mailing Address - Street 2:931 TAULADINA STREET
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3360
Mailing Address - Country:US
Mailing Address - Phone:787-989-0290
Mailing Address - Fax:
Practice Address - Street 1:COUNTRY CLUB
Practice Address - Street 2:931 TAULADINA STREET
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3360
Practice Address - Country:US
Practice Address - Phone:787-989-0290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR489-PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical