Provider Demographics
NPI:1457789943
Name:RAMIREZ, FELICIA
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 16TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1520
Mailing Address - Country:US
Mailing Address - Phone:510-357-5515
Mailing Address - Fax:510-357-5112
Practice Address - Street 1:510 16TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1520
Practice Address - Country:US
Practice Address - Phone:510-357-5515
Practice Address - Fax:510-357-5112
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2018-05-02
Deactivation Date:2018-04-24
Deactivation Code:
Reactivation Date:2018-05-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator