Provider Demographics
NPI:1932290483
Name:LASANTA RAMOS, IRIS ESTHER (MD)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:ESTHER
Last Name:LASANTA RAMOS
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 6411
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6411
Mailing Address - Country:US
Mailing Address - Phone:787-746-0229
Mailing Address - Fax:
Practice Address - Street 1:CALLE PINO H 29
Practice Address - Street 2:VILLA TURABO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6169
Practice Address - Country:US
Practice Address - Phone:787-746-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6273208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4912OtherFIRST MEDICAL
PR1670OtherPREFERRED MEDICARE CHOICE
GAP00107753OtherPALMETTO
PRPG1569OtherPALIC PROVIDER
PR200409OtherPREFERRED HEALTH
PR27604OtherTRIPLE S
PR6260030OtherHUMANA HEALTH PLAN
PR500047SEOtherMEDICARE Y MUCHO MAS
PR500047SEOtherMEDICARE Y MUCHO MAS