Provider Demographics
NPI:1245714674
Name:RAMOS, CELESTE W (OD)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:W
Last Name:RAMOS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CALLE CARIBE
Mailing Address - Street 2:CONDOMINIO CASTILLO APT 8C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-379-9121
Mailing Address - Fax:
Practice Address - Street 1:2135 CARR 2
Practice Address - Street 2:DRIVE IN PLAZA SUITE 65
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-798-7903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist