Provider Demographics
NPI:1750322012
Name:RAMOS, PEDRO L (MD)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:L
Last Name:RAMOS
Suffix:
Gender:M
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:L4 CALLE FICUS
Mailing Address - Street 2:QUINTAS DE DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4727
Mailing Address - Country:US
Mailing Address - Phone:787-796-1042
Mailing Address - Fax:787-794-4151
Practice Address - Street 1:RD. 867 KM 5.0 #183
Practice Address - Street 2:BO. INGENIO
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951
Practice Address - Country:US
Practice Address - Phone:787-794-4151
Practice Address - Fax:787-794-4151
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR012005208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660673726OtherIRS SS #