Provider Demographics
NPI:1144214313
Name:FERMIN, CYRELDA RAMIREZ (MD)
Entity Type:Individual
Prefix:
First Name:CYRELDA
Middle Name:RAMIREZ
Last Name:FERMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5632 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22309-3332
Mailing Address - Country:US
Mailing Address - Phone:703-619-4901
Mailing Address - Fax:
Practice Address - Street 1:4010 MAURY PL
Practice Address - Street 2:UNIT 8B
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309-2340
Practice Address - Country:US
Practice Address - Phone:703-619-6357
Practice Address - Fax:703-619-6358
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101055931208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics