Provider Demographics
NPI:1689253551
Name:RAMOS, EDWIN CARLOS (CSFA)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:CARLOS
Last Name:RAMOS
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 DUNSTER LN
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76131-2281
Mailing Address - Country:US
Mailing Address - Phone:708-663-0806
Mailing Address - Fax:
Practice Address - Street 1:609 DUNSTER LN
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76131-2281
Practice Address - Country:US
Practice Address - Phone:708-663-0806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical