Provider Demographics
NPI:1528056363
Name:RAMOS-CANSECO, PEDRO A (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:A
Last Name:RAMOS-CANSECO
Suffix:
Gender:M
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:ROAD 135, KM. 64.2
Mailing Address - Street 2:BOX 1003
Mailing Address - City:CASTAER
Mailing Address - State:PR
Mailing Address - Zip Code:00631-1003
Mailing Address - Country:US
Mailing Address - Phone:787-829-5010
Mailing Address - Fax:787-829-2913
Practice Address - Street 1:27 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-2615
Practice Address - Country:US
Practice Address - Phone:787-829-5010
Practice Address - Fax:787-829-2913
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH67168Medicare UPIN