Provider Demographics
NPI:1255050571
Name:RAMIREZ, JONATHAN ADRIAN
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:ADRIAN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 E BAYBERRY BEND CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2473
Mailing Address - Country:US
Mailing Address - Phone:832-853-1550
Mailing Address - Fax:
Practice Address - Street 1:6515 E BAYBERRY BEND CIRCLE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2473
Practice Address - Country:US
Practice Address - Phone:832-853-1550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program