Basic Information
| Provider Information | |||||||||
| NPI: | 1275643959 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ACOSTA RAMIREZ | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 365067 | ||||||||
| Address2: | DEPT OF PSYCHIATRY UNIV OF PR MEDICAL SERVICE CAMPUS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009365067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877654047 | ||||||||
| FaxNumber: | 7877660940 | ||||||||
| Practice Location | |||||||||
| Address1: | UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS | ||||||||
| Address2: | DEPT OF PSYCHIATRY | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009265067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877654047 | ||||||||
| FaxNumber: | 7877660940 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 03/10/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 13291 | PR | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 20684 | 01 | PR | SSS MEDICAL INSURANCE | OTHER |