Provider Demographics
NPI:1184747107
Name:GILBERTO RAMOS & CARMEN ALVAREZ
Entity type:Organization
Organization Name:GILBERTO RAMOS & CARMEN ALVAREZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-253-7070
Mailing Address - Street 1:PO BOX 8495
Mailing Address - Street 2:FERNANDEZ JUNCO STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0495
Mailing Address - Country:US
Mailing Address - Phone:787-253-7070
Mailing Address - Fax:787-791-5768
Practice Address - Street 1:10 AVE LAGUNA
Practice Address - Street 2:SUITE L106 A
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-6400
Practice Address - Country:US
Practice Address - Phone:787-253-7070
Practice Address - Fax:787-791-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6199261QR0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080127Medicare ID - Type Unspecified