Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 18477 | AZ |
NPI | 1023096203 |
---|---|
Provider Name | Dr. Santiago C Ramirez |
First Address | Tucson, AZ 85712-1053 |
Second Address | Nogales, AZ 85621-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
284430 | (05) | AZ |
E28699 | (02) |