Provider Demographics
NPI:1174594691
Name:RAMOS NAVARRO, MARCOS A (MD)
Entity type:Individual
Prefix:DR
First Name:MARCOS
Middle Name:A
Last Name:RAMOS NAVARRO
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:PO BOX 9212
Mailing Address - Street 2:COTTO STATION
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9212
Mailing Address - Country:US
Mailing Address - Phone:787-309-1253
Mailing Address - Fax:
Practice Address - Street 1:CARR 492 K.M 5.7.
Practice Address - Street 2:HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-650-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13847208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRRN-I15785Medicare UPIN
PR80121KMedicare ID - Type Unspecified