Provider Demographics
NPI:1467986562
Name:RAMOS, JAYCE CARBALLO (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JAYCE
Middle Name:CARBALLO
Last Name:RAMOS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:JAYCE
Other - Middle Name:CARBALLO
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:103 SAN REMO DRIVE
Mailing Address - Street 2:
Mailing Address - City:ISLAMORADA
Mailing Address - State:FL
Mailing Address - Zip Code:33036
Mailing Address - Country:US
Mailing Address - Phone:305-322-9070
Mailing Address - Fax:
Practice Address - Street 1:5955 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-661-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9280843363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care