Provider Demographics
NPI:1801088018
Name:RAMOS, MILDRED (LPN)
Entity type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARQUE DEL LAGO
Mailing Address - Street 2:CALLE 100 #13 APT 410
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3239
Mailing Address - Country:US
Mailing Address - Phone:787-372-1964
Mailing Address - Fax:787-795-5330
Practice Address - Street 1:PARQUE DEL LAGO
Practice Address - Street 2:CALLE 100 #13 APT 410
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3239
Practice Address - Country:US
Practice Address - Phone:787-372-1964
Practice Address - Fax:787-795-5330
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2007-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR018282164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse