Provider Demographics
NPI:1609048156
Name:RAMOS, AIXA (OT)
Entity Type:Individual
Prefix:
First Name:AIXA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 29 Z 4 BELLA VISTA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-6103
Mailing Address - Country:US
Mailing Address - Phone:939-389-5475
Mailing Address - Fax:
Practice Address - Street 1:CARR #2 INTERIOR KM19.9
Practice Address - Street 2:BARRIO CANDELARIA
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00951-0580
Practice Address - Country:US
Practice Address - Phone:787-779-8196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR603225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist