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NPI Code Detail

MEDICARE: LINA SOFIA MARTIR RAMIREZ

MEDICARE:   LINA SOFIA MARTIR RAMIREZ
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
1207P00000XEmergency Medicine Physician24387PR
2207P00000XEmergency Medicine Physician1026121MA

General Provider Information

NPI Number : 1437725421
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINA SOFIA MARTIR RAMIREZ
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE STE 2
Second Line :
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number : 617-414-5405
Fax Number :
Provider Business Practice Location Address
First Line : 235 N PEARL ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-1794
Country : US
Telephone Number : 508-427-3075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 04/08/2026

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Directions to “ LINA SOFIA MARTIR RAMIREZ ” Practice Location

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