Provider Demographics
NPI:1083146088
Name:RAMIREZ-COLOM, ALEJANDRA MARIA
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:MARIA
Last Name:RAMIREZ-COLOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B43 CALLE B
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3261
Mailing Address - Country:US
Mailing Address - Phone:787-525-7552
Mailing Address - Fax:
Practice Address - Street 1:B43 CALLE B
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3261
Practice Address - Country:US
Practice Address - Phone:787-525-7552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR220862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty