Provider Demographics
NPI:1184909376
Name:RAMOS, HUMBERTO (PA)
Entity type:Individual
Prefix:MR
First Name:HUMBERTO
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 SW 97TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5125
Mailing Address - Country:US
Mailing Address - Phone:786-286-9685
Mailing Address - Fax:
Practice Address - Street 1:4240 SW 97TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5125
Practice Address - Country:US
Practice Address - Phone:786-286-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical