Provider Demographics
NPI:1972011310
Name:RAMOS PADILLA, CARIDAD
Entity type:Individual
Prefix:
First Name:CARIDAD
Middle Name:
Last Name:RAMOS PADILLA
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 1:1270 BURNHAM AVE APT 1140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-1964
Mailing Address - Country:US
Mailing Address - Phone:702-826-6628
Mailing Address - Fax:
Practice Address - Street 1:1270 BURNHAM AVE APT 1140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-1964
Practice Address - Country:US
Practice Address - Phone:702-826-6628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2105194688OtherNEVADA IDENTIFICATION CARD