Provider Demographics
NPI:1275858482
Name:RAMIREZ-STEWART, DIANA LEE (RN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:LEE
Last Name:RAMIREZ-STEWART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 BRONX BLVD
Mailing Address - Street 2:PH
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6305
Mailing Address - Country:US
Mailing Address - Phone:718-405-5788
Mailing Address - Fax:
Practice Address - Street 1:3218 BRONX BLVD
Practice Address - Street 2:PH
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-6305
Practice Address - Country:US
Practice Address - Phone:718-405-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2023-09-05
Deactivation Date:2023-08-24
Deactivation Code:
Reactivation Date:2023-09-05
Provider Licenses
StateLicense IDTaxonomies
NY576727163W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No163W00000XNursing Service ProvidersRegistered Nurse