Kyrsha Ramirez Gorbea

Individual provider Active NPI General Practice Physician · Mayaguez, PR

NPI 1508340522 · NPPES record last updated Apr 19, 2024

Key facts

NPI
1508340522
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
23722 (PR)
Practice address
410 Ave Hostos
Mayaguez, PR 00682-1560
Phone
(787) 652-9200
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
23722PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23722 PR Yes

Addresses

Primary practice location

410 Ave Hostos
Mayaguez, PR 00682-1560

Mailing address

PO Box 29783
San Juan, PR 00929-0783

Other providers in Mayaguez, PR

All providers in Mayaguez, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.