Provider Demographics
NPI:1376713040
Name:MARIN RAMOS, CARMEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:J
Last Name:MARIN RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1209
Mailing Address - Street 2:
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707-1209
Mailing Address - Country:US
Mailing Address - Phone:787-861-7501
Mailing Address - Fax:787-861-7546
Practice Address - Street 1:53 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:MAUNABO
Practice Address - State:PR
Practice Address - Zip Code:00707-2127
Practice Address - Country:US
Practice Address - Phone:787-861-7501
Practice Address - Fax:787-861-7546
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-09
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15196208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice