Provider Demographics
NPI:1205306511
Name:RAMOS MARRERO, GLADIANY (PHARMD)
Entity type:Individual
Prefix:
First Name:GLADIANY
Middle Name:
Last Name:RAMOS MARRERO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AR-21 CALLE RIO SONADOR URB. VALLE VERDE II
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-553-6030
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 26.2 BO. ESPINOSA
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-883-5959
Practice Address - Fax:787-883-6042
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist