Provider Demographics
NPI:1497873491
Name:RAMOS-MALDONADO, GLADYS AMELY
Entity Type:Individual
Prefix:
First Name:GLADYS
Middle Name:AMELY
Last Name:RAMOS-MALDONADO
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 1:690 CALLE CESAR GONZALEZ APT 907
Mailing Address - Street 2:COND PARQUE DE LAS FUENTES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-3909
Mailing Address - Country:US
Mailing Address - Phone:787-756-8370
Mailing Address - Fax:
Practice Address - Street 1:311 AVE DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3511
Practice Address - Country:US
Practice Address - Phone:787-756-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16708207X00000X
PA16708207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery