Provider Demographics
NPI:1952926693
Name:RAMIREZ, ANDRES ENRIQUE (RN)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:ENRIQUE
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3437
Mailing Address - Country:US
Mailing Address - Phone:214-682-9586
Mailing Address - Fax:
Practice Address - Street 1:1623 AVENUE D
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3437
Practice Address - Country:US
Practice Address - Phone:214-682-9586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX990849163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse