Provider Demographics
NPI:1578769584
Name:RAMOS, ISIS DELISA (MD)
Entity Type:Individual
Prefix:DR
First Name:ISIS
Middle Name:DELISA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-0153
Mailing Address - Country:US
Mailing Address - Phone:787-579-1316
Mailing Address - Fax:
Practice Address - Street 1:CARR 129 KM 0.1
Practice Address - Street 2:HOSPITAL CAYETANO COLL Y TOSTE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-7272
Practice Address - Fax:787-822-6298
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13769208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice