1336133198 NPI number — MS. LUISA E RAMOS MPT, PT

Table of content: MS. LUISA E RAMOS MPT, PT (NPI 1336133198)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336133198 NPI number — MS. LUISA E RAMOS MPT, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS
Provider First Name:
LUISA
Provider Middle Name:
E
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MPT, PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336133198
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
M34 CALLE WILSON
Provider Second Line Business Mailing Address:
PARKVILLE URB
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00969-3950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-731-4342
Provider Business Mailing Address Fax Number:
787-731-4342

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TRUJILLO ALTO PLZ
Provider Second Line Business Practice Location Address:
TRUJILLO MEDICAL, SUITE 201
Provider Business Practice Location Address City Name:
TRUJILLO ALTO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00976-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-283-2170
Provider Business Practice Location Address Fax Number:
787-283-2170
Provider Enumeration Date:
09/08/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  738 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9760083 . This is a "HUMANA INS & HEALTH PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 223183 . This is a "PREFERRED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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