Provider Demographics
NPI:1558910034
Name:RAMONES, RYAN ERIC
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ERIC
Last Name:RAMONES
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 1:672 NORTHPARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-2523
Mailing Address - Country:US
Mailing Address - Phone:909-913-0822
Mailing Address - Fax:
Practice Address - Street 1:312 WARREN AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-3840
Practice Address - Country:US
Practice Address - Phone:252-523-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist