Provider Demographics
NPI:1255627998
Name:RAMIREZ, MARIA DEL CARMEN (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 SAN GABRIEL DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7018
Mailing Address - Country:US
Mailing Address - Phone:956-568-0955
Mailing Address - Fax:956-568-1028
Practice Address - Street 1:8001 SAN GABRIEL DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7018
Practice Address - Country:US
Practice Address - Phone:956-568-0955
Practice Address - Fax:956-568-1028
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX555465363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health