Provider Demographics
NPI:1104112598
Name:RIVERA-RAMOS, MARITZA (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARITZA
Middle Name:
Last Name:RIVERA-RAMOS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:MARITZA
Other - Middle Name:
Other - Last Name:RIVERA-RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:200 CARR 137
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3025
Mailing Address - Country:US
Mailing Address - Phone:787-862-0104
Mailing Address - Fax:787-862-0405
Practice Address - Street 1:200 CARR 137
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3025
Practice Address - Country:US
Practice Address - Phone:787-862-0104
Practice Address - Fax:787-862-0405
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist