Provider Demographics
NPI:1457028318
Name:RAMIREZ, RICHARD (ATC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 3 BOX 8291
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96266-0083
Mailing Address - Country:US
Mailing Address - Phone:561-320-3515
Mailing Address - Fax:
Practice Address - Street 1:OSAN AB
Practice Address - Street 2:51 MDG (25 FS)
Practice Address - City:PYEONGTAEK, SINJANG-DONG1
Practice Address - State:GYEONGGI-DO, PYEONGTAEK
Practice Address - Zip Code:459122
Practice Address - Country:KR
Practice Address - Phone:315-784-5440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL34322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer