Healthcare Provider Details

I. General information

NPI: 1518303155
Provider Name (Legal Business Name): TONI MARIE RAMIREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4304 DYER ST
EL PASO TX
79930-6733
US

IV. Provider business mailing address

3607 RIVERA AVE
EL PASO TX
79905-2415
US

V. Phone/Fax

Practice location:
  • Phone: 915-465-1191
  • Fax: 915-219-9229
Mailing address:
  • Phone: 915-465-1191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA132396
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT0125
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: