Provider Demographics
NPI:1427390616
Name:RAMOS, BRITZEIDA (SW)
Entity Type:Individual
Prefix:
First Name:BRITZEIDA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 STREET DOMINGUITO SECTOR CUCHI I
Mailing Address - Street 2:HC 03 BOX 20478
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-394-6412
Mailing Address - Fax:
Practice Address - Street 1:DOMINGO RUBIO STREET
Practice Address - Street 2:60
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-640-8107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16196390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program