MEDICARE: OLGA LIDIA RAMIREZ DIAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		NE
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1033052329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA LIDIA RAMIREZ DIAZ

Provider Business Mailing Address
First Line	:	504 N ELM ST APT 310
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-4567
Country	:	US
Telephone Number	:	308-391-2496
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 N ELM ST APT 310
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-4567
Country	:	US
Telephone Number	:	308-391-2496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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Directions to “ OLGA LIDIA RAMIREZ DIAZ ” Practice Location

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