Provider Demographics
NPI:1598030082
Name:RAMOS, DANIEL CRUZ (PA-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CRUZ
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1284 N ARIZONA BLVD
Mailing Address - Street 2:
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85128-3206
Mailing Address - Country:US
Mailing Address - Phone:520-723-9131
Mailing Address - Fax:
Practice Address - Street 1:1284 N ARIZONA BLVD
Practice Address - Street 2:
Practice Address - City:COOLIDGE
Practice Address - State:AZ
Practice Address - Zip Code:85128-3206
Practice Address - Country:US
Practice Address - Phone:520-723-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant