Healthcare Provider Details

I. General information

NPI: 1144159070
Provider Name (Legal Business Name): DEBBY RAMOS RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 W 2ND ST STE 450
GRAND ISLAND NE
68803-5473
US

IV. Provider business mailing address

1811 W 2ND ST STE 450
GRAND ISLAND NE
68803-5473
US

V. Phone/Fax

Practice location:
  • Phone: 308-379-8619
  • Fax: 308-675-2690
Mailing address:
  • Phone: 308-379-8619
  • Fax: 308-675-2690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: