Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 45 | PR |
NPI | 1053854927 |
---|---|
Provider Name | Bruyanelis Ramos |
First Address | Las Piedras, PR 00771-9344 |
Second Address | Las Piedras, PR 00771-9344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2016 |
Last Update Date | 28/11/2016 |