Provider Demographics
NPI:1811352172
Name:RAMOS, ERICK NIKKI I (LPN)
Entity type:Individual
Prefix:MR
First Name:ERICK
Middle Name:NIKKI
Last Name:RAMOS
Suffix:I
Gender:M
Credentials:LPN
Other - Prefix:MR
Other - First Name:ERICK
Other - Middle Name:NIKKI
Other - Last Name:RAMOS
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:C/ MATIAS GONZALES GARCIA
Mailing Address - Street 2:# 59
Mailing Address - City:GURABO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00778
Mailing Address - Country:UM
Mailing Address - Phone:787-962-9435
Mailing Address - Fax:
Practice Address - Street 1:59 CALLE MATIAS GONZALES GARCIA
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-962-9443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR61736164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse