Provider Demographics
NPI:1083339311
Name:RAMOS GARCIA, JOSE JAVIER
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:JAVIER
Last Name:RAMOS GARCIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:788 SW 97TH COURT CIR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1987
Mailing Address - Country:US
Mailing Address - Phone:786-856-4756
Mailing Address - Fax:
Practice Address - Street 1:788 SW 97TH COURT CIR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1987
Practice Address - Country:US
Practice Address - Phone:786-856-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst