Provider Demographics
NPI:1922123983
Name:RAMIREZ SANTOS, ALICIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:M
Last Name:RAMIREZ SANTOS
Suffix:
Gender:F
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:MANATI MEDICAL PLAZA
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MANITI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-6744
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO CAMINO DE LA REINA 624
Practice Address - Street 2:STREET 8860 APARTMENT 5-303
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-505-6687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1835103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1835OtherLICENCIA