Provider Demographics
NPI:1528328739
Name:RAMOS, JUAN GABRIEL (MS)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:GABRIEL
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLAZA 10 MD13 MONTE CLARO, BAYAMON, PR 00961
Mailing Address - Street 2:DE HOSTOS 511, OFICINA 103, SAN JUAN PR 00918
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-455-3408
Mailing Address - Fax:
Practice Address - Street 1:DE HOSTOS 511,OFICINA 103,SAN JUAN, PR 00918
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-946-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist