Provider Demographics
NPI:1417191164
Name:MILLER-RAMOS, AURORA-RHEA P
Entity Type:Individual
Prefix:
First Name:AURORA-RHEA
Middle Name:P
Last Name:MILLER-RAMOS
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 1:2239B MCMILLEN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA RITA
Mailing Address - State:GUAM
Mailing Address - Zip Code:96915
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2239B MCMILLEN DR
Practice Address - Street 2:
Practice Address - City:SANTA RITA
Practice Address - State:GUAM
Practice Address - Zip Code:96915
Practice Address - Country:UM
Practice Address - Phone:619-315-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor