Provider Demographics
NPI:1013236553
Name:FREIRE, RAMIRO C (BOCO)
Entity Type:Individual
Prefix:MR
First Name:RAMIRO
Middle Name:C
Last Name:FREIRE
Suffix:
Gender:M
Credentials:BOCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7633 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1626
Mailing Address - Country:US
Mailing Address - Phone:562-698-0988
Mailing Address - Fax:562-696-8791
Practice Address - Street 1:7633 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1626
Practice Address - Country:US
Practice Address - Phone:562-698-0988
Practice Address - Fax:562-696-8791
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD222Z00000-ORTHOTIST222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist