Provider Demographics
NPI:1386773513
Name:RAMIREZ RODRIGUEZ, YOLANDA (MD)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:RAMIREZ RODRIGUEZ
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:BOQUERON MARINA VILLA #2
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622
Mailing Address - Country:US
Mailing Address - Phone:787-806-8342
Mailing Address - Fax:787-806-0575
Practice Address - Street 1:URB PONCE DE LEON
Practice Address - Street 2:5 GUARIONEX
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5192
Practice Address - Country:US
Practice Address - Phone:787-806-0575
Practice Address - Fax:787-806-0575
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8413207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR208126OtherPREFFERED HEALTH
PRP000354490OtherMEDICARE RAILROAD CARRIER
PR4887OtherAMERICAN HEALTH
PR8796OtherIMC
PR601169OtherMMM
PR1641OtherPMC
PR6800193OtherHUMANA
PR32975OtherAMPR
PR061906OtherCRUZ AZUL
PR20771RAOtherTRIPLE S
PRP000354490OtherMEDICARE RAILROAD CARRIER