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NPI Code Detail

MEDICARE: CARLOS ANTONIO CRUZ RAMIREZ

MEDICARE:   CARLOS ANTONIO CRUZ 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1679818868
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS ANTONIO CRUZ RAMIREZ
Provider Business Mailing Address
First Line : 1025 CENTER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-3703
Country : US
Telephone Number : 831-466-0924
Fax Number :
Provider Business Practice Location Address
First Line : 1025 CENTER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-3703
Country : US
Telephone Number : 831-466-0924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 09/16/2013

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Directions to “ CARLOS ANTONIO CRUZ RAMIREZ ” Practice Location

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