Provider Demographics
NPI:1649717703
Name:RAMIREZ GUARACAS, HEIDY
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:
Last Name:RAMIREZ GUARACAS
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 1:14135 79TH AVE
Mailing Address - Street 2:3M
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3676
Mailing Address - Country:US
Mailing Address - Phone:347-744-3346
Mailing Address - Fax:
Practice Address - Street 1:14135 79TH AVE
Practice Address - Street 2:3M
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3676
Practice Address - Country:US
Practice Address - Phone:347-744-3346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN