Provider Demographics
NPI:1891067476
Name:CLINICA NEUROLOGICA RAMIREZ NIETO
Entity Type:Organization
Organization Name:CLINICA NEUROLOGICA RAMIREZ NIETO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:RAMIREZ NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-272-0843
Mailing Address - Street 1:PMB 238, 100 GRAND PASEOS BLVD STE 112
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5955
Mailing Address - Country:US
Mailing Address - Phone:787-272-0843
Mailing Address - Fax:
Practice Address - Street 1:140 AVE LAS CUMBRES SUITE 201B
Practice Address - Street 2:GUAYNABO MEDICAL MALL
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-272-0843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty