Provider Demographics
NPI:1669865010
Name:RAMIREZ-GARCIA, LAURA ENID (LCDA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ENID
Last Name:RAMIREZ-GARCIA
Suffix:
Gender:F
Credentials:LCDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4D13 CALLE 202
Mailing Address - Street 2:COLINAS DE FAIRVIEW
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-8211
Mailing Address - Country:US
Mailing Address - Phone:787-605-5788
Mailing Address - Fax:
Practice Address - Street 1:4D13 CALLE 202
Practice Address - Street 2:COLINAS DE FAIRVIEW
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-8211
Practice Address - Country:US
Practice Address - Phone:787-605-5788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1915133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist