Provider Demographics
NPI:1861752941
Name:RAMIREZ, JOSEPH LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LOUIS
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 S CHARLES RICHARD BEALL BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-9738
Mailing Address - Country:US
Mailing Address - Phone:386-277-1550
Mailing Address - Fax:
Practice Address - Street 1:881 S CHARLES RICHARD BEALL BLVD STE 106
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-9738
Practice Address - Country:US
Practice Address - Phone:386-277-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012195111N00000X
FL12353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor