Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 11958 | PR |
NPI | 1679582415 |
---|---|
Provider Name | Mr. Rene Ramirez-Ortiz |
First Address | San Juan, PUERTO RICO 00923 |
Second Address | San Juan, PR 00923-3004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 15/08/2011 |