Provider Demographics
NPI:1801005392
Name:RAMOS, JUAN MANUEL (LBSW)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:MANUEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 XENOPS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4983
Mailing Address - Country:US
Mailing Address - Phone:956-683-7263
Mailing Address - Fax:956-782-4726
Practice Address - Street 1:200 E EXPRESSWAY 83
Practice Address - Street 2:SUITE Q
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6507
Practice Address - Country:US
Practice Address - Phone:956-782-4700
Practice Address - Fax:956-782-4726
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01820171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator