Provider Demographics
NPI:1992890347
Name:GARCIA, RAMIRO RICARDO (RPH)
Entity type:Individual
Prefix:MR
First Name:RAMIRO
Middle Name:RICARDO
Last Name:GARCIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 N. SIESTA LANE
Mailing Address - Street 2:PO BOX 15024
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076
Mailing Address - Country:US
Mailing Address - Phone:956-765-6033
Mailing Address - Fax:956-765-9676
Practice Address - Street 1:U S. HWY 83 @ 6TH
Practice Address - Street 2:#101
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076
Practice Address - Country:US
Practice Address - Phone:956-765-6033
Practice Address - Fax:956-765-9676
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4558649OtherNCPP
TX142012Medicaid