Basic Information
Provider Information
NPI: 1780321810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS GIL
FirstName: ANGEL
MiddleName: ALEXANDER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: URB SAN ANTONIO
Address2: 101 CALLE 2
City: SAN ANTONIO
State: PR
PostalCode: 00690
CountryCode: US
TelephoneNumber: 7872367103
FaxNumber:  
Practice Location
Address1: 917 AVE TITO CASTRO
Address2:  
City: PONCE
State: PR
PostalCode: 007164717
CountryCode: US
TelephoneNumber: 7878442080
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/19/2022
LastUpdateDate: 05/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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