Provider Demographics
NPI:1225679574
Name:SCIALDONE-RAMIREZ, DENNIS T
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:T
Last Name:SCIALDONE-RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DENNIS
Other - Middle Name:TS
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SCIALDONE
Mailing Address - Street 1:12567 KARI ANNE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-1777
Mailing Address - Country:US
Mailing Address - Phone:915-355-9155
Mailing Address - Fax:
Practice Address - Street 1:5400 SUNCREST DR STE D1
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5615
Practice Address - Country:US
Practice Address - Phone:915-591-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician