Provider Demographics
NPI:1205674223
Name:RAMOS, ALMA ROSA
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:ROSA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 PARTELLO ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-5541
Mailing Address - Country:US
Mailing Address - Phone:915-613-3030
Mailing Address - Fax:
Practice Address - Street 1:AVE. PASEO DE LA VICTORIA #2840
Practice Address - Street 2:
Practice Address - City:CD JUAREZ
Practice Address - State:32459
Practice Address - Zip Code:32459
Practice Address - Country:MX
Practice Address - Phone:656-437-3614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ86073791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice