Provider Demographics
NPI:1225491616
Name:GOZO, MARIA AMORETH RAMIRO (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA AMORETH
Middle Name:RAMIRO
Last Name:GOZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST BB-1332 BOX 356524
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6524
Mailing Address - Country:US
Mailing Address - Phone:206-616-5265
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST # BB-1332
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0004
Practice Address - Country:US
Practice Address - Phone:206-616-5265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101263003208D00000X
WAMD61447491207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice