Basic Information
| Provider Information | |||||||||
| NPI: | 1770652463 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOSCH-RAMIREZ | ||||||||
| FirstName: | MARCIAL | ||||||||
| MiddleName: | VICTOR | ||||||||
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| Credential: | MD ANESTHESIOLOGIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 144100 | ||||||||
| Address2: | PMB 121 | ||||||||
| City: | ARECIBO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006144100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876507313 | ||||||||
| FaxNumber: | 7876507313 | ||||||||
| Practice Location | |||||||||
| Address1: | CARR 129 KIL .8 | ||||||||
| Address2: | AVENIDA SAN LUIS | ||||||||
| City: | ARRECIBO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876507313 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 5709 | PR | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.