Rose Ramirez, CCS
Individual provider Active NPI Specialist · Clayton, NM
NPI 1154668564 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1154668564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 103 Walnut St
Clayton, NM 88415-3049 - Phone
- (575) 758-5857
- Fax
- (575) 758-5860
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
103 Walnut St
Clayton, NM 88415-3049
Mailing address
413 Sipapu St
Box 6952
Taos, NM 87571-6489
Phone (575) 758-5857
Other providers in Clayton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.