Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1033778816 |
---|---|
Provider Name | Marmil Ramos |
First Address | Arecibo, PR 00612-3610 |
Second Address | Arecibo, PR 00612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 06/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
398359 | CORPORATE REGISTRATION (01) | PR |