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NPI Code Detail

MEDICARE: MR. ILDEFONSO RAMIREZ MED

MEDICARE:  MR. ILDEFONSO  RAMIREZ  MED
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
1103K00000XBehavior Analyst12345678NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326488131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ILDEFONSO RAMIREZ MED
Provider Business Mailing Address
First Line : 568 ENGEL WAY
Second Line :
City : HENDERSON
State : NV
Zip : 89011-4432
Country : US
Telephone Number : 484-201-9089
Fax Number :
Provider Business Practice Location Address
First Line : 720 W CHEYENNE AVE STE 20
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7817
Country : US
Telephone Number : 702-487-5665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2013
Last Update Date : 06/26/2013

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Directions to “ MR. ILDEFONSO RAMIREZ MED” Practice Location

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