Provider Demographics
NPI:1992858047
Name:RAMIREZ-VICK, MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:RAMIREZ-VICK
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 365067
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-294-3622
Mailing Address - Fax:
Practice Address - Street 1:D1 CENTRO MEDICO
Practice Address - Street 2:ENDOCRINOLOGY SECTION MEDICAL SCIENCES CAMPUS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-754-0101
Practice Address - Fax:787-765-9183
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11056207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83720Medicare ID - Type UnspecifiedMEDICARE
PRG40269Medicare UPIN