Provider Demographics
NPI:1144934530
Name:INIGUEZ, RAMON (RN)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:INIGUEZ
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 1:190 CHAMBERS ST UNIT 14
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-3372
Mailing Address - Country:US
Mailing Address - Phone:805-975-8133
Mailing Address - Fax:
Practice Address - Street 1:190 CHAMBERS ST UNIT 14
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-3372
Practice Address - Country:US
Practice Address - Phone:805-975-8133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA699483163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health