Provider Demographics
NPI:1730844358
Name:RAMIREZ, ADRIAN ROLANDO (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ROLANDO
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:CASE MANAGER
Other - Prefix:MR
Other - First Name:ADRIAN
Other - Middle Name:ROLANDO
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CASE MANAGER
Mailing Address - Street 1:3020 E BEYER BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92173-3102
Mailing Address - Country:US
Mailing Address - Phone:619-428-5533
Mailing Address - Fax:
Practice Address - Street 1:3025 BEYER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-3432
Practice Address - Country:US
Practice Address - Phone:619-428-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator