Provider Demographics
NPI:1598032609
Name:RAMS
Entity Type:Organization
Organization Name:RAMS
Other - Org Name:RAMS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ DE LA ROSA
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:787-972-9213
Mailing Address - Street 1:PO BOX 194273
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4273
Mailing Address - Country:US
Mailing Address - Phone:787-972-9213
Mailing Address - Fax:
Practice Address - Street 1:A4 CALLE ANICETO DIAZ
Practice Address - Street 2:GOLDEN HILLS
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-2620
Practice Address - Country:US
Practice Address - Phone:787-972-9213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17737208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty