1407969652 NPI number — DR. MARIA ELIZABETH CHAVEZ RAMOS PH.D., LCP

Table of content: DR. MARIA ELIZABETH CHAVEZ RAMOS PH.D., LCP (NPI 1407969652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407969652 NPI number — DR. MARIA ELIZABETH CHAVEZ RAMOS PH.D., LCP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAVEZ RAMOS
Provider First Name:
MARIA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., LCP
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:
1407969652
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1452 AV ASHFORD
Provider Second Line Business Mailing Address:
SUITE 408
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-509-6144
Provider Business Mailing Address Fax Number:
787-292-0521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1452 AV ASHFORD
Provider Second Line Business Practice Location Address:
SUITE 408
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-509-6144
Provider Business Practice Location Address Fax Number:
787-292-0521
Provider Enumeration Date:
08/15/2006

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: 103TC0700X , with the licence number:  1165 , 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: 557960 . This is a "FHC HEALTH SYSTEMS PROVID" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101043 . This is a "LA CRUZ AZUL DE PR PROVI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 57597 CH . This is a "TRIPLE - S, INC. PROVIDER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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