Provider Demographics
NPI:1083467906
Name:RAMOS, ERNESTO IVAN III
Entity Type:Individual
Prefix:MR
First Name:ERNESTO
Middle Name:IVAN
Last Name:RAMOS
Suffix:III
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 1:710 CLEO MILLER DR APT 361
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-2577
Mailing Address - Country:US
Mailing Address - Phone:615-589-7907
Mailing Address - Fax:
Practice Address - Street 1:710 CLEO MILLER DR APT 361
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-2577
Practice Address - Country:US
Practice Address - Phone:615-589-7907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician