Provider Demographics
NPI:1881728137
Name:RAMOS, GILBERTO (MD)
Entity type:Individual
Prefix:
First Name:GILBERTO
Middle Name:
Last Name:RAMOS
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 1:1450 ASHORD AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN, JUAN,
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-723-4664
Mailing Address - Fax:787-722-8495
Practice Address - Street 1:1450 ASHORD AVENUE
Practice Address - Street 2:
Practice Address - City:SAN, JUAN,
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-723-4664
Practice Address - Fax:787-722-8495
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6199261QR0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080127AMedicare ID - Type Unspecified
PRC78220Medicare UPIN