Provider Demographics
NPI:1366459638
Name:RAMOS, RICARDO (DC)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 W WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1853
Mailing Address - Country:US
Mailing Address - Phone:813-868-4357
Mailing Address - Fax:813-319-0181
Practice Address - Street 1:2802 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1853
Practice Address - Country:US
Practice Address - Phone:813-868-4357
Practice Address - Fax:813-319-0181
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70094ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER