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General NPI Number Information
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NPI Number | 1922810910
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Entity Type | Individual
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Provider Name | MARCOS ANDRES RAMIREZ
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Gender | Male
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Dates
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Enumeration Date | 01/25/2025
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 1313 N CHEYENNE ST
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City | BENKELMAN
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State | NE
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Zip | 69021-3074
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Country | US
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Telephone | 308-423-2204
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Fax | 308-423-2968
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Provider Business Mailing Address
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Address Line | PO BOX 194
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City | WAUNETA
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State | NE
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Zip | 69045-0194
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Country | US
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Telephone | 402-219-1213
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86115464
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License Number State | NE
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