Provider Demographics
NPI:1417559535
Name:RAMOS, ESTEFANIA
Entity Type:Individual
Prefix:MRS
First Name:ESTEFANIA
Middle Name:
Last Name: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 1:17 CALLE LOLITA TIZOL APT 8A
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3871
Mailing Address - Country:US
Mailing Address - Phone:787-479-0206
Mailing Address - Fax:
Practice Address - Street 1:17 CALLE LOLITA TIZOL APT 8A
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3871
Practice Address - Country:US
Practice Address - Phone:787-479-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program