Provider Demographics
NPI:1841345196
Name:RAMOS, MARIA (LCDA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LCDA
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 560389
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0389
Mailing Address - Country:US
Mailing Address - Phone:787-835-2840
Mailing Address - Fax:787-835-3268
Practice Address - Street 1:CALLE MUNOZ RIVERA
Practice Address - Street 2:149 B
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656
Practice Address - Country:US
Practice Address - Phone:787-835-2840
Practice Address - Fax:787-835-3268
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3579183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3579OtherPHARMACIST STATE LICENSE