Individual
INGRID J. RAMIREZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 PONCE BYP, PONCE, PR 00717-1321
(917) 684-4285
Mailing address
PO BOX 7521, PONCE, PR 00732-7521
(917) 684-4285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME112166
FL
207VX0201X
Gynecologic Oncology Physician
Primary
19918
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007318100
—
FL
01
—
14NF1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/27/2008
Last updated
06/14/2024
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