Provider Demographics
NPI:1992809255
Name:RAMOS, DENA ANN (PAC)
Entity type:Individual
Prefix:MRS
First Name:DENA
Middle Name:ANN
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:MS
Other - First Name:DENA
Other - Middle Name:ANN
Other - Last Name:BOUCHARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PAC
Mailing Address - Street 1:20 CATAMORE BLVD
Mailing Address - Street 2:RHODE ISLAND MEDICAL IMAGING INC
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-432-2457
Practice Address - Street 1:20 CATAMORE BLVD
Practice Address - Street 2:RHODE ISLAND MEDICAL IMAGING INC
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPA003062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology