MEDICARE: MARIA RAMIRES

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1518377514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA RAMIRES

Provider Business Mailing Address
First Line	:	417 SW 51ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-7726
Country	:	US
Telephone Number	:	405-664-7212
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 SW 51ST ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-7726
Country	:	US
Telephone Number	:	405-664-7212
Fax Number	:

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

Provider Enumeration Date	:	04/30/2014
Last Update Date	:	04/30/2014

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Directions to “ MARIA RAMIRES ” Practice Location

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