Provider Demographics
NPI:1679695415
Name:RAMOS, CESAR O (PHARMACY TECH)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:O
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALT MONTE BRISAS ST 7
Mailing Address - Street 2:4L3
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-655-0933
Mailing Address - Fax:
Practice Address - Street 1:ALTURAS DE MONTE BRISAS ST 7
Practice Address - Street 2:4L3
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-655-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2832183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2832OtherPHARMACY TECH