Provider Demographics
NPI:1942479449
Name:RAMOS, JUAN MIGUEL (OTR)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:MIGUEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7838 BARLITE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1364
Mailing Address - Country:US
Mailing Address - Phone:210-924-4400
Mailing Address - Fax:210-334-2276
Practice Address - Street 1:7838 BARLITE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1364
Practice Address - Country:US
Practice Address - Phone:210-924-4400
Practice Address - Fax:210-334-2276
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109148225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist