Provider Demographics
NPI:1053515015
Name:RAMOS, IRMA NYDIA (MD)
Entity type:Individual
Prefix:DR
First Name:IRMA
Middle Name:NYDIA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IRMA
Other - Middle Name:NYDIA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3220 DEER POINT PL
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8138
Mailing Address - Country:US
Mailing Address - Phone:502-292-0047
Mailing Address - Fax:502-852-3304
Practice Address - Street 1:3220 DEER POINT PL
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8138
Practice Address - Country:US
Practice Address - Phone:502-292-0047
Practice Address - Fax:502-852-3304
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8469208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics