Diego Ramirez, ATC, LAT, LMT.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5172 Issued in FL

Practice address

538 Marklen Loop
Polk City, FL 33868-9600

Phone

(828) 789-9090

NPI assigned

Sep 10, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Diego Fernando Ramirez Molina Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dieramirez@selectmedical.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467001677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MARKLEN LOOP",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MARKLEN LOOP",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689600",
            "telephone_number": "828-789-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "DIEGO",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT,  LMT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DieRamirez@SelectMedical.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Select Medical Corporation",
            "address_1": "4716 Old Gettysburg Rd",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170554325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIEGO",
            "last_name": "RAMIREZ MOLINA",
            "middle_name": "FERNANDO",
            "prefix": "MR.",
            "credential": "ATC, LAT, LMT.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Polk City, FL
• Providers in Polk City, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.