Provider Demographics
NPI:1427201730
Name:RAMIREZ, ALBA (LND)
Entity Type:Individual
Prefix:MRS
First Name:ALBA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 WEST. NOTHGATE DRIVE
Mailing Address - Street 2:APT. 902
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062
Mailing Address - Country:US
Mailing Address - Phone:787-503-0109
Mailing Address - Fax:
Practice Address - Street 1:4113 WEST. NOTHGATE DRIVE
Practice Address - Street 2:APT. 902
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062
Practice Address - Country:US
Practice Address - Phone:787-503-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR459133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist