1629124664 NPI number — RAMIREZ & RAMIREZ INC

Table of content: YANG EUN KIM DMD (NPI 1528696606)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629124664 NPI number — RAMIREZ & RAMIREZ INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMIREZ & RAMIREZ INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629124664
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 AVE RAFAEL CORDERO STE 104
Provider Second Line Business Mailing Address:
AVE LUIS MUNOZ MARIN 50
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00725-4302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-258-3880
Provider Business Mailing Address Fax Number:
787-745-7510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 AVE RAFAEL CORDERO STE 104
Provider Second Line Business Practice Location Address:
AVE LUIS MUNOZ MARIN 50
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725-4302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-258-3880
Provider Business Practice Location Address Fax Number:
787-745-7510
Provider Enumeration Date:
01/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ
Authorized Official First Name:
NORMA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
787-258-3880

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 11F2143 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4018758 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 436772001 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".




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