Provider Demographics
NPI:1487306130
Name:RAMIREZ, RYLEE NOELLE (MD)
Entity type:Individual
Prefix:
First Name:RYLEE
Middle Name:NOELLE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RYLEE
Other - Middle Name:NOELLE
Other - Last Name:TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2555 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-6255
Mailing Address - Country:US
Mailing Address - Phone:937-775-7792
Mailing Address - Fax:
Practice Address - Street 1:2555 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324
Practice Address - Country:US
Practice Address - Phone:937-775-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2025-12-11
Deactivation Date:2024-04-10
Deactivation Code:
Reactivation Date:2024-05-09
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH57.257290390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program