Provider Demographics
NPI:1437918794
Name:RAMIREZ DIAZ, YOMARALIZ
Entity Type:Individual
Prefix:
First Name:YOMARALIZ
Middle Name:
Last Name:RAMIREZ DIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 9507
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-8630
Mailing Address - Country:US
Mailing Address - Phone:787-697-1900
Mailing Address - Fax:
Practice Address - Street 1:CARR 941 KM 5.0 SECTOR GUILLERMO FLORES
Practice Address - Street 2:BARRIO JAGUAS
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-8630
Practice Address - Country:US
Practice Address - Phone:787-697-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RE86104163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse