Provider Demographics
NPI:1700094273
Name:RAMIREZ, JAN MICHELLE (AUX)
Entity Type:Individual
Prefix:MS
First Name:JAN
Middle Name:MICHELLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:AUX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION ALTURAS DE ADJUNTAS
Mailing Address - Street 2:NUMERO 214
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601
Mailing Address - Country:US
Mailing Address - Phone:787-312-1778
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION ALTURAS DE ADJUNTAS
Practice Address - Street 2:NUMERO 214
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-312-1778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004959183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician