Active NPI
Wanda Pacheco Ramos, RN
- General Practice Registered Nurse
- Ponce, PR
National Provider Identifier
1821750654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 71765
- Practice address
- 2706 Ave Maruca
Ponce, PR 00728-4103 - Phone
- (787) 812-5978
- Fax
- (787) 812-5966
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 71765 | PR | Primary |
Addresses
Primary practice location
2706 Ave Maruca
Ponce, PR 00728-4103
Mailing address
2706 Ave Maruca
Ponce, PR 00728-4103
Phone (787) 812-5978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71765 | PR | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1821750654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 AVE MARUCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007284103",
"telephone_number": "787-812-5978",
"fax_number": "787-812-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 AVE MARUCA",
"city": "PONCE",
"state": "PR",
"postal_code": "007284103",
"telephone_number": "787-812-5978",
"fax_number": "787-812-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO RAMOS",
"first_name": "WANDA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "71765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.