Provider Demographics
NPI:1124281332
Name:RAMIREZ, RICHMOND JOLONGBAYAN (MD, FAAFP)
Entity type:Individual
Prefix:DR
First Name:RICHMOND
Middle Name:JOLONGBAYAN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD, FAAFP
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Mailing Address - Street 1:2405 W HORIZON RIDGE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2718
Mailing Address - Country:US
Mailing Address - Phone:252-319-2607
Mailing Address - Fax:855-592-1927
Practice Address - Street 1:2405 W HORIZON RIDGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2718
Practice Address - Country:US
Practice Address - Phone:702-960-4568
Practice Address - Fax:855-592-1927
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV203152083B0002X, 207Q00000X
PAMT193198207Q00000X
RIMD13709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250010522Medicaid