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Individual

VIOLA RAMOS JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
690 CALLE CESAR GONZALEZ, PARQUE DE LAS FUENTES, APT. 1507, SAN JUAN, PR 00918-3901
(787) 753-6036
Mailing address
690 CALLE CESAR GONZALEZ, PARQUE DE LAS FUENTES, APT. 1507, SAN JUAN, PR 00918-3901
(787) 753-6036

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
2819
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2819
MEDICAL LICENCE
PR
Enumeration date
06/21/2007
Last updated
07/08/2007
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