Provider Demographics
NPI:1881398808
Name:RAMOS CRUZ, MARIA DE LOS ANGELES (OD)
Entity type:Individual
Prefix:
First Name:MARIA DE LOS
Middle Name:ANGELES
Last Name:RAMOS CRUZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION ALTURAS DEL REMANSO
Mailing Address - Street 2:N24 CALLE CATARATAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6119
Mailing Address - Country:US
Mailing Address - Phone:787-644-7911
Mailing Address - Fax:
Practice Address - Street 1:URB. ALTURAS DEL REMANSO
Practice Address - Street 2:N24 CALLE CATARATAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6119
Practice Address - Country:US
Practice Address - Phone:787-644-7911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1317156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty