Provider Demographics
NPI:1528750833
Name:RAMOS MARTINEZ, ESMERALDA REGINA
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:REGINA
Last Name:RAMOS MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ESPLANADE DR STE 600
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0525
Mailing Address - Country:US
Mailing Address - Phone:805-283-3191
Mailing Address - Fax:916-614-9542
Practice Address - Street 1:500 E ESPLANADE DR STE 600
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0525
Practice Address - Country:US
Practice Address - Phone:805-283-3191
Practice Address - Fax:916-614-9542
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA692899164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse