Provider Demographics
NPI:1841210754
Name:GRACIA-RAMIS, MANUEL RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:RAMON
Last Name:GRACIA-RAMIS
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 1:969 CALLE QUITO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2337
Mailing Address - Country:US
Mailing Address - Phone:787-766-9316
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #2 KM 47.7
Practice Address - Street 2:DOCTORS CENTER HOSPITAL MEDICINA ESPECIALIZADA
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16218208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery