Provider Demographics
NPI:1225807142
Name:RAMIREZ, LEGNY
Entity Type:Individual
Prefix:
First Name:LEGNY
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SWANTON ST APT L10
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4326
Mailing Address - Country:US
Mailing Address - Phone:786-641-9934
Mailing Address - Fax:
Practice Address - Street 1:83 MORSE ST STE 6
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4350
Practice Address - Country:US
Practice Address - Phone:786-641-9934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker