Provider Demographics
NPI:1437109485
Name:LLAVONA-RAMIA, CARLA R (MD)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:R
Last Name:LLAVONA-RAMIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND MONTE MAYOR
Mailing Address - Street 2:44 ST, JUAN C BORBON, SUITE 733
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4001
Mailing Address - Country:US
Mailing Address - Phone:787-600-2312
Mailing Address - Fax:
Practice Address - Street 1:COND MONTE MAYOR
Practice Address - Street 2:44 ST, JUAN C BORBON, SUITE 733
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4001
Practice Address - Country:US
Practice Address - Phone:787-600-2312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13465207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13465OtherSTATE LICENCE
PR13465OtherSTATE LICENCE