Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 120 | PR |
NPI | 1013572593 |
---|---|
Provider Name | Mildred Ramos |
First Address | Caguas, PR 00725-9251 |
Second Address | Carolina, PR 00986 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2019 |
Last Update Date | 09/05/2019 |