MEDICARE: MARIA ESTELLA RAMOS REGISTERED NURSE

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	163W00000X	Registered Nurse	497085	CA

General Provider Information

NPI Number	:	1649562836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ESTELLA RAMOS REGISTERED NURSE

Provider Business Mailing Address
First Line	:	2017 VILLA DR
Second Line	:	APT 106
City	:	BAY POINT
State	:	CA
Zip	:	94565-7964
Country	:	US
Telephone Number	:	925-291-2599
Fax Number	:	925-291-2599

Provider Business Practice Location Address
First Line	:	2017 VILLA DR
Second Line	:	APT 106
City	:	BAY POINT
State	:	CA
Zip	:	94565-7964
Country	:	US
Telephone Number	:	925-291-2599
Fax Number	:	925-291-2599

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

Provider Enumeration Date	:	05/06/2011
Last Update Date	:	05/06/2011

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