Provider Demographics
NPI:1578549481
Name:RAMOS, PEDRO D (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:D
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C13 CALLE TULANE
Mailing Address - Street 2:UNIVERSITY GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4903
Mailing Address - Country:US
Mailing Address - Phone:787-487-2900
Mailing Address - Fax:
Practice Address - Street 1:16 CALLE BARCELO
Practice Address - Street 2:TOA ALTA
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-2444
Practice Address - Country:US
Practice Address - Phone:787-870-1529
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5987208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR004751OtherPROFESIONAL REGISTER
PR5987OtherSTATE LICENSE