Provider Demographics
NPI:1952007205
Name:RAMOS, HECTOR JR (LMT)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 SW ARKANSAS TER
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-1901
Mailing Address - Country:US
Mailing Address - Phone:772-342-3580
Mailing Address - Fax:
Practice Address - Street 1:738 SW ARKANSAS TER
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-1901
Practice Address - Country:US
Practice Address - Phone:772-342-3580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA100979225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist