Provider Demographics
NPI:1760776835
Name:RAMOS RODRIGUEZ, MARYCELIS (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARYCELIS
Middle Name:
Last Name:RAMOS RODRIGUEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION PAISAJES DE DORADO CALLE JACARANDA
Mailing Address - Street 2:# 104
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0104
Mailing Address - Country:US
Mailing Address - Phone:787-409-4971
Mailing Address - Fax:787-795-7240
Practice Address - Street 1:104 CALLE JACARANDA
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-6808
Practice Address - Country:US
Practice Address - Phone:787-409-4971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist