Provider Demographics
NPI:1336953504
Name:RAMIREZ, LUIS JR
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:
Last Name:RAMIREZ
Suffix:JR
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 1:1424 W PRICE RD STE A1
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8672
Mailing Address - Country:US
Mailing Address - Phone:956-543-6548
Mailing Address - Fax:
Practice Address - Street 1:1424 W PRICE RD STE A1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8672
Practice Address - Country:US
Practice Address - Phone:956-543-6548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies