Provider Demographics
NPI:1528802410
Name:RAMIREZ LOPEZ, FERNANDA DE LAS MERCEDES (MD)
Entity type:Individual
Prefix:
First Name:FERNANDA
Middle Name:DE LAS MERCEDES
Last Name:RAMIREZ LOPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 W 148TH ST APT A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-3733
Mailing Address - Country:US
Mailing Address - Phone:347-465-8564
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST RM 420
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program