Provider Demographics
NPI:1477624179
Name:RAMIREZ-TORRES, ENRIQUE III (MT)
Entity Type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:
Last Name:RAMIREZ-TORRES
Suffix:III
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CALLE 65 INFANTERIA
Mailing Address - Street 2:STE 2
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667
Mailing Address - Country:US
Mailing Address - Phone:787-899-3670
Mailing Address - Fax:787-899-2163
Practice Address - Street 1:20 CALLE 65 INFANTERIA
Practice Address - Street 2:STE 2
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-899-3670
Practice Address - Fax:787-899-2163
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3420246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30862Medicare ID - Type UnspecifiedPROVIDER NUMBER