Provider Demographics
NPI:1689968646
Name:NATAL RAMIREZ, EVELYN Z
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:Z
Last Name:NATAL 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:PO BOX 492
Mailing Address - Street 2:
Mailing Address - City:SOUTH FORK
Mailing Address - State:CO
Mailing Address - Zip Code:81154-0492
Mailing Address - Country:US
Mailing Address - Phone:719-589-3165
Mailing Address - Fax:
Practice Address - Street 1:1203 MAIN ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2395
Practice Address - Country:US
Practice Address - Phone:719-589-3165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3744183500000X
CO24379183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist