Individual
LILIANA ANDREA RAMIREZ GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2273
(617) 724-7836
Mailing address
55 FRUIT ST STE 835, BOSTON, MA 02114-2696
(617) 726-2273
(617) 724-7836
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A118627
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A118627
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
07/30/2009
Last updated
07/31/2020
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