Basic Information
Provider Information
NPI: 1730192204
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS-HERBERTH
FirstName: FRANCES
MiddleName: IVETTE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3601 S 6TH AVE # 11-MS
Address2:  
City: TUCSON
State: AZ
PostalCode: 857230001
CountryCode: US
TelephoneNumber: 5207921450
FaxNumber:  
Practice Location
Address1: 3601 S 6TH AVE # 11-MS
Address2:  
City: TUCSON
State: AZ
PostalCode: 857230001
CountryCode: US
TelephoneNumber: 5207921450
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/14/2006
LastUpdateDate: 03/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XME103760FLN Allopathic & Osteopathic PhysiciansDermatology 
207ND0900XME 103760FLN Allopathic & Osteopathic PhysiciansDermatologyDermatopathology
207ND0900X2015-02139NCN Allopathic & Osteopathic PhysiciansDermatologyDermatopathology
207N00000X2015-02139NCY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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