Provider Demographics
NPI:1295932259
Name:LOEZ-CEPERO RAMOS, MARI C
Entity type:Individual
Prefix:MS
First Name:MARI
Middle Name:C
Last Name:LOEZ-CEPERO 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:DK13 CALLE LLANURAS
Mailing Address - Street 2:RIO HONDO IV
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3308
Mailing Address - Country:US
Mailing Address - Phone:787-640-6152
Mailing Address - Fax:
Practice Address - Street 1:CALLE SANTA CRUZ
Practice Address - Street 2:EDFICIO SANTA CRUZ, OFICINA 102
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-640-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay