Individual provider Active NPI

Carlos Andres Ramirez

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1669206058
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1167632 Issued in TX
Practice address
2204 Joe Battle Blvd
El Paso, TX 79938-4660
Phone
(915) 307-7800
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 80502 NM
Acute Care Nurse Practitioner 363LA2100X 1167632 TX Primary

Addresses

Primary practice location

2204 Joe Battle Blvd
El Paso, TX 79938-4660

Mailing address

9051 Polaris St
El Paso, TX 79904-1122
Phone (915) 497-9486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241021003663 NM Practitioner - Nurse Practitioner 4587196175 Reassigns benefits to 1 organization
I20241021003999 TX Practitioner - Nurse Practitioner 4587196175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
80502NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A & V Doctors PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

3830 E Lohman Ave
Ste 1
Las Cruces, NM 88011
Phone (915) 307-2631

2204 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 307-7800

2204 Joe Battle Blvd
Ste B104
El Paso, TX 79938
Phone (415) 691-0462

7500 N Mesa St
Ste 210
El Paso, TX 79912
Phone (915) 307-2631

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1669206058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 POLARIS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041122",
            "telephone_number": "915-497-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384660",
            "telephone_number": "915-307-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "80502",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1167632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.