Provider Demographics
NPI:1811108459
Name:ARCE RAMOS, ASTRID L (MD)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:L
Last Name:ARCE RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 28450
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-8726
Mailing Address - Country:US
Mailing Address - Phone:787-615-8365
Mailing Address - Fax:787-814-0200
Practice Address - Street 1:HC 5 BOX 28450
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-8726
Practice Address - Country:US
Practice Address - Phone:787-615-8365
Practice Address - Fax:787-814-0200
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16721208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16721OtherMEDICAL LICENSE