1861729774 NPI number — DR. NELLYNETTE TORRES RAMIREZ PH. D.

Table of content: DR. NELLYNETTE TORRES RAMIREZ PH. D. (NPI 1861729774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861729774 NPI number — DR. NELLYNETTE TORRES RAMIREZ PH. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORRES RAMIREZ
Provider First Name:
NELLYNETTE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH. D.
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:
1861729774
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
836 CALLE SAUCO
Provider Second Line Business Mailing Address:
ESTANCIAS DEL CARMEN
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00716-2146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-601-3124
Provider Business Mailing Address Fax Number:
187-779-4741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
836 CALLE SAUCO
Provider Second Line Business Practice Location Address:
ESTANCIAS DEL CARMEN
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-2146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-601-3124
Provider Business Practice Location Address Fax Number:
187-779-4741
Provider Enumeration Date:
11/13/2009

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:  3316 , 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)





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