Provider Demographics
NPI:1508086364
Name:RAMOS, MIGUEL A SR
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:A
Last Name:RAMOS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 11914
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-9630
Mailing Address - Country:US
Mailing Address - Phone:787-768-3687
Mailing Address - Fax:787-734-6767
Practice Address - Street 1:CALLE ALGARIN ESQ. DR BARRERA
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-3081
Practice Address - Fax:787-734-6767
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist