Basic Information
Provider Information
NPI: 1801019419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMOS ESCODA
FirstName: EMILIO
MiddleName: EUGENIO
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 140190
Address2: URB SAN LORENZO
City: ARECIBO
State: PR
PostalCode: 006140190
CountryCode: US
TelephoneNumber: 7878787314
FaxNumber: 7878817598
Practice Location
Address1: STREET #129
Address2: HOSPITAL METROPOLITANO DR. CAYETANO COLL Y TOSTE
City: ARECIBO
State: PR
PostalCode: 00612
CountryCode: US
TelephoneNumber: 7876507272
FaxNumber: 7878817598
Other Information
ProviderEnumerationDate: 04/11/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X6972PRY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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