Provider Demographics
NPI:1215345434
Name:PEREZ, RAMIRO
Entity type:Individual
Prefix:
First Name:RAMIRO
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 N PEKING ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1904
Mailing Address - Country:US
Mailing Address - Phone:956-383-2600
Mailing Address - Fax:956-383-2675
Practice Address - Street 1:802A E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3632
Practice Address - Country:US
Practice Address - Phone:956-383-2600
Practice Address - Fax:956-383-2675
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17552OtherTEXAS STATE BOARD OF PHARMACY