Provider Demographics
NPI:1639883879
Name:RAMOS, SERGIO ALBERTO JR (PT)
Entity Type:Individual
Prefix:
First Name:SERGIO
Middle Name:ALBERTO
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1075 N MILLER RD APT 251
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-4616
Mailing Address - Country:US
Mailing Address - Phone:956-220-9542
Mailing Address - Fax:480-281-5220
Practice Address - Street 1:1075 N MILLER RD APT 251
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-4616
Practice Address - Country:US
Practice Address - Phone:956-220-9542
Practice Address - Fax:480-281-5220
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13348042251N0400X
AZ313832251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology