Provider Demographics
NPI:1992574412
Name:RAMOS-VAZQUEZ, ELISA (HEALTH EDUCATOR)
Entity type:Individual
Prefix:MISS
First Name:ELISA
Middle Name:
Last Name:RAMOS-VAZQUEZ
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB TOA ALTA HEIGHTS
Mailing Address - Street 2:L7 CALLE 9
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-4235
Mailing Address - Country:US
Mailing Address - Phone:787-382-0475
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:URB TOA ALTA HEIGHTS
Practice Address - Street 2:L7 CALLE 9
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-382-0475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1033174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator