Provider Demographics
NPI:1982937918
Name:RAMIREZ GARCIA, LILLIANA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:LILLIANA
Middle Name:MARIA
Last Name:RAMIREZ GARCIA
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 1:1357 ASHFORD AVE PMB 198
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:787-763-6795
Mailing Address - Fax:787-763-6789
Practice Address - Street 1:735 AVE PONCE DE LEON
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-763-6795
Practice Address - Fax:787-763-6789
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18264207N00000X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRIK539ZMedicare UPIN