Healthcare Provider Details

I. General information

NPI: 1487922415
Provider Name (Legal Business Name): MR. JAIME ADAN RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 N MAIN ST
SALINAS CA
93906-1516
US

IV. Provider business mailing address

2214 N MAIN ST
SALINAS CA
93906-1516
US

V. Phone/Fax

Practice location:
  • Phone: 831-443-0662
  • Fax: 831-443-0668
Mailing address:
  • Phone: 831-443-0662
  • Fax: 831-443-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: