Provider Demographics
NPI:1518599893
Name:RAMOS, JOSE
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:RAMOS
Suffix:
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 1:10 COLONIAL CT APT 78
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-4138
Mailing Address - Country:US
Mailing Address - Phone:323-387-3265
Mailing Address - Fax:
Practice Address - Street 1:10 COLONIAL CT APT 78
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-4138
Practice Address - Country:US
Practice Address - Phone:323-387-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician