Provider Demographics
NPI:1811020761
Name:RAMIREZ VARGAS, ALBA
Entity Type:Individual
Prefix:
First Name:ALBA
Middle Name:
Last Name:RAMIREZ VARGAS
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 43
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0043
Mailing Address - Country:US
Mailing Address - Phone:787-897-4220
Mailing Address - Fax:
Practice Address - Street 1:BUENOS AIRES CARR. 128
Practice Address - Street 2:40.1 KM
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669
Practice Address - Country:US
Practice Address - Phone:787-897-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist