Provider Demographics
NPI:1801069794
Name:GONZALEZ RAMOS, MARIA C
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:GONZALEZ 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:PO BOX 1574
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1574
Mailing Address - Country:US
Mailing Address - Phone:787-714-1142
Mailing Address - Fax:
Practice Address - Street 1:AVE. BARBOSA
Practice Address - Street 2:EDIF. LINCOLN #414
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00928-1414
Practice Address - Country:US
Practice Address - Phone:787-763-7575
Practice Address - Fax:787-765-5888
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005969183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician