Provider Demographics
NPI:1538038492
Name:RAMIREZ, LUIS LORENZO (DOM)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:LORENZO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6332 ENTRADA DE MILAGRO APT 1224
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-1654
Mailing Address - Country:US
Mailing Address - Phone:505-519-6804
Mailing Address - Fax:
Practice Address - Street 1:6332 ENTRADA DE MILAGRO APT 1224
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-1654
Practice Address - Country:US
Practice Address - Phone:505-519-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMAOM-2025-0011171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist