Provider Demographics
NPI:1770335812
Name:PINA RAMIREZ, LUZ PAOLA
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:PAOLA
Last Name:PINA 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 1:1199 E AMERICA ST UNIT 1515
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS
Mailing Address - State:AZ
Mailing Address - Zip Code:85336-0479
Mailing Address - Country:US
Mailing Address - Phone:928-246-6499
Mailing Address - Fax:
Practice Address - Street 1:1199 E AMERICA ST UNIT 1515
Practice Address - Street 2:
Practice Address - City:SAN LUIS
Practice Address - State:AZ
Practice Address - Zip Code:85336-0479
Practice Address - Country:US
Practice Address - Phone:928-246-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program