MEDICARE: YMALIZ RAMIREZ MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	63233	AZ

General Provider Information

NPI Number	:	1679004790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YMALIZ RAMIREZ MD

Provider Business Mailing Address
First Line	:	12377 MERIT DR STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-3126
Country	:	US
Telephone Number	:	972-957-3000
Fax Number	:	972-980-3738

Provider Business Practice Location Address
First Line	:	1512 N ZARAGOZA RD STE A1
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-8903
Country	:	US
Telephone Number	:	915-855-7700
Fax Number	:

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	06/25/2025

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Directions to “ YMALIZ RAMIREZ MD” Practice Location

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