Provider Demographics
NPI:1467639120
Name:RAMIREZ, RAMIRO ROBERTO (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAMIRO
Middle Name:ROBERTO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 MILE 4 N
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4538
Mailing Address - Country:US
Mailing Address - Phone:956-565-0655
Mailing Address - Fax:956-565-5428
Practice Address - Street 1:2719 MILE 4 N
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4538
Practice Address - Country:US
Practice Address - Phone:956-565-0655
Practice Address - Fax:956-565-5428
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22050103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist