Provider Demographics
NPI:1306106968
Name:RAMIREZ, MELVIN R (RN)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:R
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 AVE ROOSEVELT
Mailing Address - Street 2:APT. 206
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-2713
Mailing Address - Country:US
Mailing Address - Phone:787-632-3100
Mailing Address - Fax:
Practice Address - Street 1:1484 AVE ROOSEVELT
Practice Address - Street 2:APT. 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-2713
Practice Address - Country:US
Practice Address - Phone:787-632-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR31865163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse