1942409859 NPI number — JORGE A RAMOS SANTIAGO

Table of content: JORGE A RAMOS SANTIAGO (NPI 1942409859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942409859 NPI number — JORGE A RAMOS SANTIAGO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS SANTIAGO
Provider First Name:
JORGE
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1942409859
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 64 BOX 8487
Provider Second Line Business Mailing Address:
BO. GUARDARRAYA
Provider Business Mailing Address City Name:
PATILLAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00723-9732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-486-8875
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HC 64 BOX 8487
Provider Second Line Business Practice Location Address:
CARR 7758 KM 1 BO GUARDARRAYA
Provider Business Practice Location Address City Name:
PATILLAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-486-8875
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2007

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: 104100000X , with the licence number:  2999 , 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: 2999 . This is a "SOCIAL WORKER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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