Provider Demographics
NPI:1194567008
Name:RAMIREZ, TAMARA (DAOM, LIC AC)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DAOM, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TORRIMAR 1-4 AVE. RAMIREZ ARELLANO
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-429-1007
Mailing Address - Fax:
Practice Address - Street 1:97 PR 2 GALERIA SUCHVILLE
Practice Address - Street 2:SUITE 215
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-429-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3338171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist