Provider Demographics
NPI:1659021491
Name:CASALDUC RAMIREZ, CAROLINA ISABEL
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ISABEL
Last Name:CASALDUC RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO LOS ROBLES
Mailing Address - Street 2:1208 BARTOLO RIVERA
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-636-7770
Mailing Address - Fax:
Practice Address - Street 1:PASEO LOS ROBLES
Practice Address - Street 2:1208 BARTOLO RIVERA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-636-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program