MEDICARE: JOSE LUIS RAMIREZ APRN, CRNA-NSPM-C

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	367500000X	Certified Registered Nurse Anesthetist	01074	NM
2	367500000X	Certified Registered Nurse Anesthetist	AP121846	TX
3	208VP0014X	Interventional Pain Medicine Physician	CRNA-01074	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP121846	OTHER	TX	TEXAS LICENSE NUMBER
2	CRNA-01074	OTHER	NM	APRN-CRNA

General Provider Information

NPI Number	:	1790002830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE LUIS RAMIREZ APRN, CRNA-NSPM-C

Provider Business Mailing Address
First Line	:	3005 HILLRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4703
Country	:	US
Telephone Number	:	575-525-3980
Fax Number	:	575-523-8660

Provider Business Practice Location Address
First Line	:	3005 HILLRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4703
Country	:	US
Telephone Number	:	575-525-3980
Fax Number	:	575-523-8660

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

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	02/01/2024

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Directions to “ JOSE LUIS RAMIREZ APRN, CRNA-NSPM-C” Practice Location

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