Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 14916 | PR |
NPI | 1013973023 |
---|---|
Provider Name | Ruth Evelin Ramos |
First Address | Carolina, PR 00987-2204 |
Second Address | San Juan, PR 00935-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 03/07/2014 |