Provider Demographics
NPI:1013070853
Name:RAMIREZ-WILLIAMS, MIGUEL (FNP)
Entity Type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:RAMIREZ-WILLIAMS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MARINA PKWY
Mailing Address - Street 2:D2 100
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4054
Mailing Address - Country:US
Mailing Address - Phone:619-427-7589
Mailing Address - Fax:
Practice Address - Street 1:34730 BOB WILSON DR STE 201
Practice Address - Street 2:NMCSD NEUROSCIENCES DEPARTMENT
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-3201
Practice Address - Country:US
Practice Address - Phone:619-532-7253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily