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NPI Code Detail

MEDICARE: MR. CODY ANGEL RAMIREZ

MEDICARE:  MR. CODY ANGEL 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
1225700000XMassage Therapist4530AL

General Provider Information

NPI Number : 1912501131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CODY ANGEL RAMIREZ
Provider Business Mailing Address
First Line : 526 GOLDEN CREST CIR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1159
Country : US
Telephone Number : 512-217-1391
Fax Number :
Provider Business Practice Location Address
First Line : 526 GOLDEN CREST CIR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1159
Country : US
Telephone Number : 512-217-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 11/29/2020

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Directions to “ MR. CODY ANGEL RAMIREZ ” Practice Location

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