Provider Demographics
NPI:1659696078
Name:RAMOS, HUBERTO ISAAC
Entity Type:Individual
Prefix:DR
First Name:HUBERTO
Middle Name:ISAAC
Last Name:RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:HUBERT
Other - Middle Name:I
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2136 HICKORY FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-1758
Mailing Address - Country:US
Mailing Address - Phone:757-966-0324
Mailing Address - Fax:
Practice Address - Street 1:2136 HICKORY FOREST DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-1758
Practice Address - Country:US
Practice Address - Phone:757-966-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT182289-12052083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine