Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 26080R | PR |
Y | 207N00000X | Dermatologist | N3493 | TX |
N | 207ND0900X | Dermatopathologist | N3493 | TX |
NPI | 1083818884 |
---|---|
Provider Name | Alma Criseida Berlingeri Ramos |
First Address | Tyler, TX 75703-1013 |
Second Address | Tyler, TX 75703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 18/07/2018 |