Provider Demographics
NPI:1538559208
Name:RAMIREZ, PERLA IVY
Entity type:Individual
Prefix:
First Name:PERLA
Middle Name:IVY
Last Name:RAMIREZ
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 1:6750 OAKRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-7896
Mailing Address - Country:US
Mailing Address - Phone:775-419-9563
Mailing Address - Fax:
Practice Address - Street 1:6750 OAKRIDGE AVE
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-7896
Practice Address - Country:US
Practice Address - Phone:775-419-9563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker