Provider Demographics
NPI:1629624879
Name:RAMIREZ, RECECA (MLT)
Entity Type:Individual
Prefix:
First Name:RECECA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 28 1/2
Mailing Address - Street 2:
Mailing Address - City:SAN LEON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6580
Mailing Address - Country:US
Mailing Address - Phone:409-766-0662
Mailing Address - Fax:409-997-6077
Practice Address - Street 1:910 28 1/2
Practice Address - Street 2:
Practice Address - City:SAN LEON
Practice Address - State:TX
Practice Address - Zip Code:77539-6580
Practice Address - Country:US
Practice Address - Phone:409-766-0662
Practice Address - Fax:409-997-6077
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care