Provider Demographics
NPI:1427062132
Name:LITHGOW RAMIREZ, YNGRID B (MD)
Entity type:Individual
Prefix:MRS
First Name:YNGRID
Middle Name:B
Last Name:LITHGOW RAMIREZ
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:PO BOX 781
Mailing Address - Street 2:MM MEDICAL
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0781
Mailing Address - Country:US
Mailing Address - Phone:787-646-7913
Mailing Address - Fax:
Practice Address - Street 1:URB LOIZA VALLEY
Practice Address - Street 2:MM MEDICAL
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-273-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
20822Medicare ID - Type Unspecified
H60164Medicare UPIN