Provider Demographics
NPI:1710008941
Name:RAMOS, SANDRA (MS, CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 E CURRY RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-5683
Mailing Address - Country:US
Mailing Address - Phone:956-207-7559
Mailing Address - Fax:
Practice Address - Street 1:4610 E CURRY RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-5683
Practice Address - Country:US
Practice Address - Phone:956-957-7537
Practice Address - Fax:956-436-5050
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2863904Medicaid