Provider Demographics
NPI:1831070416
Name:VEGA RAMIREZ, RICARDO EDUARDO
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:EDUARDO
Last Name:VEGA RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140131
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0131
Mailing Address - Country:US
Mailing Address - Phone:787-314-4430
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 140131
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614-0131
Practice Address - Country:US
Practice Address - Phone:787-314-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR86606163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty