Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | M1004 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | M1004 | TX |
NPI | 1306806757 |
---|---|
Provider Name | Jennifer M Amaral Ramos |
First Address | Corpus Christi, TX 78466-1160 |
Second Address | Corpus Christi, TX 78414-4106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 15/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I38989 | (02) | TX |