Provider Demographics
NPI:1720587595
Name:RAMOS, VICTOR MICHAEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:MICHAEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 NEW CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7740
Mailing Address - Country:US
Mailing Address - Phone:956-220-3722
Mailing Address - Fax:
Practice Address - Street 1:6602 POLARIS DR STE 5
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2082
Practice Address - Country:US
Practice Address - Phone:956-791-1414
Practice Address - Fax:956-791-6814
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-07
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF07170057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF07170057OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS NAL BOARD,INC
TXAP134670OtherTEXAS BOARD OF NURSING