1902331002 NPI number — KRISTINA ERICA RAMIREZ MPH, RRT, CHESS

Table of content: KRISTINA ERICA RAMIREZ MPH, RRT, CHESS (NPI 1902331002)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902331002 NPI number — KRISTINA ERICA RAMIREZ MPH, RRT, CHESS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ
Provider First Name:
KRISTINA
Provider Middle Name:
ERICA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MPH, RRT, CHESS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEAL
Provider Other First Name:
KRISTINA
Provider Other Middle Name:
ERICA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RRT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902331002
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6206 PARSLEY HL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78238-2445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-254-8785
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6206 PARSLEY HL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78238-2445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-254-8785
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 227900000X , with the licence number:  75374 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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