Provider Demographics
NPI:1932175635
Name:HERNANDEZ-RAMIREZ, IVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:IVETTE
Middle Name:
Last Name:HERNANDEZ-RAMIREZ
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 1:30-22 CALLE 10
Mailing Address - Street 2:VILLA CAROLINA,
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5426
Mailing Address - Country:US
Mailing Address - Phone:787-776-1672
Mailing Address - Fax:
Practice Address - Street 1:111-50 AVE. ROBERTO CLEMENTE ,
Practice Address - Street 2:LOCAL 1, VILLA CAROLINA,
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-750-4920
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16321208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice