Provider Demographics
NPI:1518726892
Name:RAMOS, JORGE M
Entity Type:Individual
Prefix:
First Name:JORGE
Middle Name:M
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 1:7422 SPRING RUN DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3572
Mailing Address - Country:US
Mailing Address - Phone:502-526-1551
Mailing Address - Fax:
Practice Address - Street 1:7422 SPRING RUN DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3572
Practice Address - Country:US
Practice Address - Phone:502-526-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)