Provider Demographics
NPI:1861609398
Name:RAMIREZ, NIDZA M (PHARM TECHNICIAN)
Entity type:Individual
Prefix:
First Name:NIDZA
Middle Name:M
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PHARM TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 AVE LA MOCA
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-4012
Mailing Address - Country:US
Mailing Address - Phone:787-818-3104
Mailing Address - Fax:787-877-2280
Practice Address - Street 1:202 AVE LA MOCA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4012
Practice Address - Country:US
Practice Address - Phone:787-877-2216
Practice Address - Fax:787-877-2280
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2650183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician