Provider Demographics
NPI:1508353244
Name:RAMOS RIVERA, MARTA IRENE (RN, CWSCN, WOC)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:IRENE
Last Name:RAMOS RIVERA
Suffix:
Gender:F
Credentials:RN, CWSCN, WOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 CALLE EMAJAGUA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-7530
Mailing Address - Country:US
Mailing Address - Phone:787-600-2068
Mailing Address - Fax:
Practice Address - Street 1:406 CALLE EMAJAGUA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-7530
Practice Address - Country:US
Practice Address - Phone:787-600-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12621163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care