Provider Demographics
NPI:1639135288
Name:RAMOS, JIMMY G (PA)
Entity Type:Individual
Prefix:
First Name:JIMMY
Middle Name:G
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2670 N LAS VEGAS BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-5871
Mailing Address - Country:US
Mailing Address - Phone:702-399-0604
Mailing Address - Fax:702-399-0607
Practice Address - Street 1:2670 N LAS VEGAS BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-5871
Practice Address - Country:US
Practice Address - Phone:702-399-0604
Practice Address - Fax:702-399-0607
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2021-02-26
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Provider Licenses
StateLicense IDTaxonomies
NVPA875207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine