Provider Demographics
NPI:1932153467
Name:QUIEN, RAMCEL MUNOZ (MD)
Entity Type:Individual
Prefix:
First Name:RAMCEL
Middle Name:MUNOZ
Last Name:QUIEN
Suffix:
Gender:F
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 820933
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-707-0070
Mailing Address - Fax:215-707-0071
Practice Address - Street 1:100 E LEHIGH AVE
Practice Address - Street 2:CHC-1 EAST
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19125-1012
Practice Address - Country:US
Practice Address - Phone:215-707-0070
Practice Address - Fax:215-707-0071
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051001L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001623700Medicaid
PA0707230OtherAETNA HMO
PA663899OtherHIGHMARK BLUE SHIELD
PAP00025010OtherRAILROAD MEDICARE
PA1065130OtherKEYSTONE MERCY HEALTH
PA544661OtherCOVENTRY HEALTH AMERICA
PA0400144000OtherINDEPENDENCE BLUE CROSS
PA5079465OtherAETNA PPO
PA0707230OtherAETNA HMO
PA663899OtherHIGHMARK BLUE SHIELD