Provider Demographics
NPI:1154611564
Name:RAMOS, IRIS N (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:IRIS
Middle Name:N
Last Name:RAMOS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VISTA SERENA 920, 175 RD.
Mailing Address - Street 2:BOX 5501
Mailing Address - City:SAN JUAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00926
Mailing Address - Country:UM
Mailing Address - Phone:787-710-2532
Mailing Address - Fax:787-708-2260
Practice Address - Street 1:140 LAS CUMBRES AVE GUAYNABO MEDICAL MALL
Practice Address - Street 2:SUITE 106
Practice Address - City:GUAYNABO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00969
Practice Address - Country:UM
Practice Address - Phone:787-710-2532
Practice Address - Fax:787-708-2260
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13722163W00000X
PR001604363LF0000X
PR1604163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily