Provider Demographics
NPI:1932893104
Name:RAMOS, BENJAMIN G (APRN)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:G
Last Name:RAMOS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 KAPALAMA AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2716
Mailing Address - Country:US
Mailing Address - Phone:808-799-7764
Mailing Address - Fax:
Practice Address - Street 1:1262 KAPALAMA AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2716
Practice Address - Country:US
Practice Address - Phone:808-799-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4081-0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily