Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | S8372 | TX |
Y | 111NI0900X | Internist | S8372 | TX |
NPI | 1003343310 |
---|---|
Provider Name | Eileen Jill Nicolas Ramos |
First Address | Miami, FL 33126-2051 |
Second Address | Corpus Christi, TX 78405-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 05/12/2021 |