Provider / Organization | NPI | Date Certified |
---|---|---|
TAINE RAMIREZ DIAZ | 1548881709 | 2023-08-13 |
Taine Ramirez Diaz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548881709. Registration indicates Taine Ramirez Diaz is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Ms. Taine Ramirez Diaz M.D. |
Practice Office Address | 808 S WOOD ST STE 888 CHICAGO, IL US |
Practice Office Telephone | 3129966732 |
Practice Office Fax | 3124131657 |
Mailing Address | 808 S WOOD ST STE 888 CHICAGO, IL 606127300 US |
Business Telephone | 3129966732 |
Business Fax | 3124131657 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |