Provider Demographics
NPI:1760564488
Name:RAMOS, MARIA TERESA SERVIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA TERESA
Middle Name:SERVIDA
Last Name:RAMOS
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 1:758 S WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3840
Mailing Address - Country:US
Mailing Address - Phone:931-526-6173
Mailing Address - Fax:931-526-5084
Practice Address - Street 1:758 S WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3840
Practice Address - Country:US
Practice Address - Phone:931-526-6173
Practice Address - Fax:931-526-5084
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40404208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics