Provider Demographics
NPI:1477228799
Name:RAMIREZ, SILVERIO J
Entity Type:Individual
Prefix:
First Name:SILVERIO
Middle Name:J
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16231 WINDCREST DR
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-1501
Mailing Address - Country:US
Mailing Address - Phone:909-904-2623
Mailing Address - Fax:
Practice Address - Street 1:16231 WINDCREST DR
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-1501
Practice Address - Country:US
Practice Address - Phone:909-904-2623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor