Provider Demographics
NPI:1073401345
Name:RAMOS, NIDIA MARGARET
Entity type:Individual
Prefix:
First Name:NIDIA
Middle Name:MARGARET
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NIDIA
Other - Middle Name:MARGARET
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NIDIA AGUILERA
Mailing Address - Street 1:38345 30TH ST E STE C2
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4982
Mailing Address - Country:US
Mailing Address - Phone:661-461-7465
Mailing Address - Fax:
Practice Address - Street 1:38345 30TH ST E STE C2
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4982
Practice Address - Country:US
Practice Address - Phone:661-461-7465
Practice Address - Fax:661-461-7465
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty