Provider Demographics
NPI:1851885594
Name:RAMIREZ, CARMEN MARLENE (AP)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:MARLENE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 W BALLAST POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-3905
Mailing Address - Country:US
Mailing Address - Phone:718-813-1539
Mailing Address - Fax:
Practice Address - Street 1:3317 W BALLAST POINT BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3905
Practice Address - Country:US
Practice Address - Phone:718-813-1539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-16
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
FL4153171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No374J00000XNursing Service Related ProvidersDoula