Provider Demographics
NPI:1437203007
Name:DOCTORESRAMOSFERNANDEZOSTOLAZACSP
Entity Type:Organization
Organization Name:DOCTORESRAMOSFERNANDEZOSTOLAZACSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ -SIFRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-763-6722
Mailing Address - Street 1:735 AVE PONCE DE LEON STE 601
Mailing Address - Street 2:TORRE MEDICA AUXILIO MUTUO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5028
Mailing Address - Country:US
Mailing Address - Phone:787-763-6722
Mailing Address - Fax:787-763-6515
Practice Address - Street 1:735 AVE PONCE DE LEON STE 601
Practice Address - Street 2:TORRE MEDICA AUXILIO MUTUO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5028
Practice Address - Country:US
Practice Address - Phone:787-763-6722
Practice Address - Fax:787-763-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty