Healthcare Provider Details

I. General information

NPI: 1801685912
Provider Name (Legal Business Name): DIANA C AGUILAR RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 STRAWBERRY DR NE
RIO RANCHO NM
87144-8036
US

IV. Provider business mailing address

1821 STRAWBERRY DR NE
RIO RANCHO NM
87144-8036
US

V. Phone/Fax

Practice location:
  • Phone: 505-489-0866
  • Fax:
Mailing address:
  • Phone: 505-489-0866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: