Provider Demographics
NPI:1245497726
Name:RAMIREZ, MARTA IRIS
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:IRIS
Last Name:RAMIREZ
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:URBANIZACION BORINQUEN
Mailing Address - Street 2:CALLE B #114
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-882-1373
Mailing Address - Fax:
Practice Address - Street 1:CARR 107
Practice Address - Street 2:KM 3.5
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5970
Practice Address - Country:US
Practice Address - Phone:787-891-5479
Practice Address - Fax:787-882-1535
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002581183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician