Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 11431 | PR |
NPI | 1164482014 |
---|---|
Provider Name | Mrs. Irma Elizabeth Ramos |
First Address | San Juan, PR 00926-5928 |
Second Address | San Juan, PR 00912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 08/07/2007 |