Provider Demographics
NPI:1902236326
Name:RAMIREZ, JUAN H
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:H
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 1:1209 S 10TH ST STE A
Mailing Address - Street 2:# 324
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5060
Mailing Address - Country:US
Mailing Address - Phone:956-843-4890
Mailing Address - Fax:956-843-5197
Practice Address - Street 1:1910 N INTERNATIONAL BLVD
Practice Address - Street 2:SUITE15
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-2550
Practice Address - Country:US
Practice Address - Phone:956-843-4890
Practice Address - Fax:956-843-5197
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-21
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10004253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX214417201Medicaid
TXAMB1025Medicare PIN