Provider Demographics
NPI:1326317900
Name:RAMIREZ, JUAN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S COLUMBIA DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486-3020
Mailing Address - Country:US
Mailing Address - Phone:979-299-7896
Mailing Address - Fax:
Practice Address - Street 1:202 S COLUMBIA DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486-3020
Practice Address - Country:US
Practice Address - Phone:979-299-7896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor