Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 222Z00000-ORTHOTIST | MD |
Y | 222Z00000X | Podiatrist | 222Z00000-ORTHOTIST | MD |
NPI | 1013236553 |
---|---|
Provider Name | Mr. Ramiro C. Freire |
First Address | Whittier, CA 90602-1626 |
Second Address | Whittier, CA 90602-1626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 24/05/2010 |