Healthcare Provider Details

I. General information

NPI: 1043664840
Provider Name (Legal Business Name): YUSIMI RAMIREZ MONTES DE OCA RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 E FLAMINGO RD STE H
LAS VEGAS NV
89121-5208
US

IV. Provider business mailing address

4270 POWELL AVE
LAS VEGAS NV
89121-6552
US

V. Phone/Fax

Practice location:
  • Phone: 786-725-6381
  • Fax:
Mailing address:
  • Phone: 786-725-6381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number855896
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: