Provider Demographics
NPI:1770967333
Name:RAMOS SILVA, IVETTE (MD)
Entity type:Individual
Prefix:
First Name:IVETTE
Middle Name:
Last Name:RAMOS SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IVETTE
Other - Middle Name:
Other - Last Name:RAMOS ORTEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:831-438-1430
Mailing Address - Fax:
Practice Address - Street 1:2980 EL RANCHO DR
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95060-1103
Practice Address - Country:US
Practice Address - Phone:831-438-1430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148333207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine