Provider Demographics
NPI:1629118567
Name:RAMIREZ, GRIZELLE M (MD)
Entity Type:Individual
Prefix:MISS
First Name:GRIZELLE
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 ESTANCIAS DE IMBERY
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-9724
Mailing Address - Country:US
Mailing Address - Phone:787-858-4925
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA REAL CALLE 2 B-10
Practice Address - Street 2:SUITE 3
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-585-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11408207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0088071OtherMEDICARE SELECTO
PR7858OtherIMC
PR88071OtherTRIPLE S
PR100112OtherMMM HEALTH CARE
PR1785OtherPMC
PR6163OtherAMERICAN HEALTH MEDICARE
PR9000773OtherCRUZ AZUL
PR7858OtherIMC
PR0088071OtherMEDICARE SELECTO