Healthcare Provider Details

I. General information

NPI: 1780961219
Provider Name (Legal Business Name): MRS. PATRICIA R RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 10/03/2012
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

124 RIVER RD
SALINAS CA
93908-9601
US

V. Phone/Fax

Practice location:
  • Phone: 831-269-3984
  • Fax: 831-443-0668
Mailing address:
  • Phone: 831-269-3984
  • Fax: 831-443-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2470A2800X
TaxonomyAssistant Health Information Record Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: