Provider Demographics
NPI:1962574905
Name:RAMIREZ, STEPHEN PAUL (CST, CFA)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:PAUL
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:CST, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 S HAVANA ST
Mailing Address - Street 2:11-393
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4019
Mailing Address - Country:US
Mailing Address - Phone:720-987-0090
Mailing Address - Fax:
Practice Address - Street 1:1155 S HAVANA ST
Practice Address - Street 2:11-393
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4019
Practice Address - Country:US
Practice Address - Phone:303-362-0133
Practice Address - Fax:303-362-0133
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical