Provider Demographics
NPI:1245734797
Name:RAMIREZ, MARIO DANIEL (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:MARIO
Middle Name:DANIEL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 E TRENTON RD STE 20
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9762
Mailing Address - Country:US
Mailing Address - Phone:569-348-0140
Mailing Address - Fax:
Practice Address - Street 1:293 E TRENTON RD STE 20
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9762
Practice Address - Country:US
Practice Address - Phone:569-348-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily