Individual
LEONOR VIVAS RAMOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 PALISADE AVE, JERSEY, NJ 07306
(201) 459-8888
(201) 459-8872
Mailing address
15 MSGR WOJTYCHA DR, JERSEY CITY, NJ 07305-4891
(201) 451-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA69782
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8044309
—
NJ
Enumeration date
05/04/2006
Last updated
07/08/2007
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