Provider Demographics
NPI:1265155527
Name:RAMIREZ, JUAN MANUEL JR (RDN)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:MANUEL
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13225 EARLY CRIMSON ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-3117
Mailing Address - Country:US
Mailing Address - Phone:323-483-0140
Mailing Address - Fax:
Practice Address - Street 1:13225 EARLY CRIMSON ST
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-3117
Practice Address - Country:US
Practice Address - Phone:323-483-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education