Provider Demographics
NPI:1083954093
Name:SANTOS, RAMON ZARAGOZA
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:ZARAGOZA
Last Name:SANTOS
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RAMON
Other - Middle Name:ZARAGOZA
Other - Last Name:DE LOS SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3024 RED BAY WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7804
Mailing Address - Country:US
Mailing Address - Phone:702-757-5629
Mailing Address - Fax:
Practice Address - Street 1:3680 N RANCHO DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3180
Practice Address - Country:US
Practice Address - Phone:702-869-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst