Provider Demographics
NPI:1689956708
Name:RAMOS, RAYMOND CERVANTES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:CERVANTES
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2302 BROWN ROAD
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251
Mailing Address - Country:US
Mailing Address - Phone:760-337-7900
Mailing Address - Fax:760-482-3006
Practice Address - Street 1:2302 BROWN RD.
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-0731
Practice Address - Country:US
Practice Address - Phone:760-337-7900
Practice Address - Fax:760-482-3006
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 42913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist