Provider Demographics
NPI:1265937825
Name:RAMOS, ADA NELLY
Entity type:Individual
Prefix:
First Name:ADA
Middle Name:NELLY
Last Name:RAMOS
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 1:200 CALLE SANTA ROSA APT 217
Mailing Address - Street 2:LA CUMBRE GDNS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-398-4580
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE SANTA ROSA APT 217
Practice Address - Street 2:LA CUMBRE GDNS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5631
Practice Address - Country:US
Practice Address - Phone:787-398-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR696OtherAT THE MOMENT I DO NOT HAVE AN NPI NUMBER