Provider Demographics
NPI:1740636026
Name:CANALES RAMOS, NICOLLE M (MD)
Entity type:Individual
Prefix:
First Name:NICOLLE
Middle Name:M
Last Name:CANALES RAMOS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY DISTRICT HOSPITAL
Mailing Address - Street 2:PUERTO RICO MEDICAL CENTER BO. MONACILLOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00935-0001
Mailing Address - Country:US
Mailing Address - Phone:787-754-0101
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL CENTER BUILDING SUITE 310
Practice Address - Street 2:2 CALLE MUNOZ RIVERA ESQ GOYCO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3675
Practice Address - Country:US
Practice Address - Phone:787-399-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR34153207R00000X
PR22100207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine