Provider Demographics
NPI:1144761321
Name:RAMOS, BELEN LAQUI (PA-C)
Entity Type:Individual
Prefix:
First Name:BELEN
Middle Name:LAQUI
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N 23RD ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6081
Mailing Address - Country:US
Mailing Address - Phone:956-682-4401
Mailing Address - Fax:956-664-9081
Practice Address - Street 1:3600 N 23RD ST STE 103
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6081
Practice Address - Country:US
Practice Address - Phone:956-682-4401
Practice Address - Fax:956-664-9081
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AS0400X
TXPA11168363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical