Provider Demographics
NPI:1699829820
Name:RAMOS ORTIZ, MARILY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILY
Middle Name:
Last Name:RAMOS ORTIZ
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:URBANIZACION PALACIOS DEL RIO II,
Mailing Address - Street 2:760 HERRERA STREET
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-5122
Mailing Address - Country:US
Mailing Address - Phone:787-714-8892
Mailing Address - Fax:
Practice Address - Street 1:AA-7 CALLE PRINCIPAL VAN SCOY
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-6502
Practice Address - Country:US
Practice Address - Phone:787-799-9926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15468261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service