Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME112166 | FL |
Y | 207VX0201X | Gynecologic Oncologist | 19918 | PR |
NPI | 1194987552 |
---|---|
Provider Name | Ingrid Josefina Ramirez |
First Address | Ponce, PR 00732-7521 |
Second Address | Ponce, PR 00717-1321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 11/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007318100 | (05) | FL |
14NF1 | BLUE CROSS BLUE SHIELD (01) | FL |