Provider Demographics
NPI:1184071458
Name:RAMOS GONZALEZ, CRISTINA ENID
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:ENID
Last Name:RAMOS GONZALEZ
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:OFICINA FACULTAD MEDICA PO BOX 191079
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1079
Mailing Address - Country:US
Mailing Address - Phone:787-753-6390
Mailing Address - Fax:
Practice Address - Street 1:BARRIO MONACILLOS CARRETERA 22 CENTRO MEDICO
Practice Address - Street 2:HOSPITAL PEDIATRICO UNIVERSITARIO DR. ANTONIO ORTIZ
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-753-6390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21254208000000X
PR14251-I208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics