Provider Demographics
NPI:1770908352
Name:DE JESUS RAMOS, LINNETTE M (OD)
Entity type:Individual
Prefix:DR
First Name:LINNETTE
Middle Name:M
Last Name:DE JESUS RAMOS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:506 BLVD MEDIA LUNA APT 602
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-4988
Mailing Address - Country:US
Mailing Address - Phone:787-750-0068
Mailing Address - Fax:
Practice Address - Street 1:506 BLVD MEDIA LUNA APT 602
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-4988
Practice Address - Country:US
Practice Address - Phone:787-750-0068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist