Provider Demographics
NPI:1417023441
Name:RAMIREZ, DELIZ
Entity Type:Individual
Prefix:
First Name:DELIZ
Middle Name:
Last Name:RAMIREZ
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:URB LAGO HORISONTE
Mailing Address - Street 2:F 8 CALLE RUBI
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-901-5912
Mailing Address - Fax:787-843-9485
Practice Address - Street 1:URB LAGO HORISONTE
Practice Address - Street 2:F 8 CALLE RUBI
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-901-5912
Practice Address - Fax:787-843-9485
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1042183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician