Provider Demographics
NPI:1477184851
Name:GARCIA RAMIREZ, REBECCA
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GARCIA RAMIREZ
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 1:101 N FM 3167 STE 101-102
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-2080
Mailing Address - Country:US
Mailing Address - Phone:956-488-1811
Mailing Address - Fax:956-488-1812
Practice Address - Street 1:101 N FM 3167 STE 101-102
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-2080
Practice Address - Country:US
Practice Address - Phone:956-488-1811
Practice Address - Fax:956-488-1812
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist