Healthcare Provider Details

I. General information

NPI: 1962963751
Provider Name (Legal Business Name): MABEL RAMIREZ TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 N BEND RD
CINCINNATI OH
45239-7660
US

IV. Provider business mailing address

4497 EASTWOOD DR APT 15112
BATAVIA OH
45103-4447
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-1067
  • Fax:
Mailing address:
  • Phone: 513-600-3489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: