Provider Demographics
NPI:1497446108
Name:RAMIREZ, EBED MELEC
Entity type:Individual
Prefix:
First Name:EBED
Middle Name:MELEC
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 1:11425 GENE SARAZEN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4732
Mailing Address - Country:US
Mailing Address - Phone:915-474-1758
Mailing Address - Fax:
Practice Address - Street 1:11425 GENE SARAZEN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4732
Practice Address - Country:US
Practice Address - Phone:915-474-1758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach