Basic Information
| Provider Information | |||||||||
| NPI: | 1326484627 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMOS-RIVERA | ||||||||
| FirstName: | GLORIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | LAB. HISTOPATOLOGIA RCM | ||||||||
| Address2: | PO BOX 29134 | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009290134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877660728 | ||||||||
| FaxNumber: | 7877540710 | ||||||||
| Practice Location | |||||||||
| Address1: | LAB HISTOPATOLOGIA ESC MEDICINA 3ER PISO | ||||||||
| Address2: | CENTRO MEDICO DE PR BO MONACILLOS EDIF PRINCIPAL RCM | ||||||||
| City: | RIO PIEDRAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00935 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877660728 | ||||||||
| FaxNumber: | 7877540710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2013 | ||||||||
| LastUpdateDate: | 08/14/2018 | ||||||||
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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 | 207ZC0006X | 21005 | PR | N | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology | 207ZP0101X | 21005 | PR | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207ZC0500X | 21005 | PR | Y | Allopathic & Osteopathic Physicians | Pathology | Cytopathology |
No ID Information.