MEDICARE: MS. DAKOTA L RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT22031	NM

General Provider Information

NPI Number	:	1053885228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAKOTA L RAMIREZ

Provider Business Mailing Address
First Line	:	4800 JUAN TABO BLVD NE STE B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2627
Country	:	US
Telephone Number	:	505-888-1795
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 JUAN TABO BLVD NE STE B
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-2627
Country	:	US
Telephone Number	:	505-888-1795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2019
Last Update Date	:	01/01/2026

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