Provider Demographics
NPI:1831152677
Name:RAMOS CORTES, EDWARDO (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARDO
Middle Name:
Last Name:RAMOS CORTES
Suffix:
Gender:M
Credentials:MD
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 363792
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3792
Mailing Address - Country:US
Mailing Address - Phone:787-723-7554
Mailing Address - Fax:787-723-7554
Practice Address - Street 1:264 CALLE CONVENTO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3207
Practice Address - Country:US
Practice Address - Phone:787-723-7554
Practice Address - Fax:787-723-7554
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11778208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87738-RAOtherTRIPLE-S
PR0087738Medicare ID - Type Unspecified
PR87738-RAOtherTRIPLE-S