Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 16708 | PR |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 16708 | PA |
NPI | 1497873491 |
---|---|
Provider Name | Gladys Amely Ramos-Maldonado |
First Address | San Juan, PR 00918-3909 |
Second Address | San Juan, PR 00918-3511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 25/10/2011 |