Provider Demographics
NPI:1851982219
Name:RAMOS, ARISTOTLE GARCIA
Entity Type:Individual
Prefix:
First Name:ARISTOTLE
Middle Name:GARCIA
Last Name:RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 KALIHI ST APT B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-3060
Mailing Address - Country:US
Mailing Address - Phone:808-847-2820
Mailing Address - Fax:808-847-2820
Practice Address - Street 1:2820 KALIHI ST APT B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3060
Practice Address - Country:US
Practice Address - Phone:808-847-2820
Practice Address - Fax:808-847-2820
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI564501311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI564501Medicaid