Provider Demographics
NPI:1689622672
Name:PARRILLA, RAMON H (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:H
Last Name:PARRILLA
Suffix:
Gender:M
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 1400
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1400
Mailing Address - Country:US
Mailing Address - Phone:787-739-8075
Mailing Address - Fax:787-739-5544
Practice Address - Street 1:STATE ROAD # 787 KM. 1.5
Practice Address - Street 2:FIRST HOSPITAL PANAMERICANO
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-1400
Practice Address - Country:US
Practice Address - Phone:787-739-8075
Practice Address - Fax:787-739-5544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47492084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC84033Medicare UPIN