Provider Demographics
NPI:1790544740
Name:RAMOS CANCEL, MARIA A
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:RAMOS CANCEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3376
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3376
Mailing Address - Country:US
Mailing Address - Phone:178-771-7707
Mailing Address - Fax:
Practice Address - Street 1:PLAZOLETA LA CE SUIT 2 AL AVE. SANCHEZ VILELLA
Practice Address - Street 2:ESQUINA PR-190
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:855-711-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR000453363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical