Provider Demographics
NPI:1194903351
Name:RAMIREZ, ESPERANZA HOPE
Entity type:Individual
Prefix:MRS
First Name:ESPERANZA
Middle Name:HOPE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ESPERANZA
Other - Middle Name:HOPE
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:6770 W LAGUNA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-9625
Mailing Address - Country:US
Mailing Address - Phone:210-633-3573
Mailing Address - Fax:
Practice Address - Street 1:6770 W LAGUNA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-9625
Practice Address - Country:US
Practice Address - Phone:210-633-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93115164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1002778OtherMDCP PROVIDER