Basic Information
Provider Information
NPI: 1700174422
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: FRANCINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 RANCH DR
Address2:  
City: WESTMINSTER
State: CO
PostalCode: 802342646
CountryCode: US
TelephoneNumber: 3035392533
FaxNumber:  
Practice Location
Address1: 2270 ARAPAHOE RD
Address2: SUITE 132 250
City: LAFAYETTE
State: CO
PostalCode: 80026
CountryCode: US
TelephoneNumber: 3035392533
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/15/2011
LastUpdateDate: 07/15/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246ZS0410X  Y    

No ID Information.


Home