Individual provider · Type 1 NPI
Matiyaga Ramirez Jardiniano, PA-C
Medical Physician Assistant · Va Beach, VA
NPI number
1861772295
Active
Practice location
4844 Berrywood Rd.
Va Beach, VA 23464-5871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840340 (VA) |
| Other Technician | 247200000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1861772295
Matiyaga Ramirez Jardiniano, PA-C's National Provider Identifier is 1861772295, issued on Aug 17, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Va Beach, VA. The record was last updated on Jan 11, 2013.