Provider Demographics
NPI:1629875471
Name:RAMOS, RUBEN A (LAC)
Entity type:Individual
Prefix:
First Name:RUBEN
Middle Name:A
Last Name:RAMOS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 WALL AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4619
Mailing Address - Country:US
Mailing Address - Phone:973-934-6363
Mailing Address - Fax:
Practice Address - Street 1:60 CATHY LANE
Practice Address - Street 2:SUITE 103
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518
Practice Address - Country:US
Practice Address - Phone:609-499-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00858000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health