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NPI Code Detail

MEDICARE: MR. JUAN MANUEL RAMOS III RN

MEDICARE: MR. JUAN MANUEL RAMOS III RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95140829CA

General Provider Information

NPI Number : 1447779954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUAN MANUEL RAMOS III RN
Provider Business Mailing Address
First Line : 2358 UNIVERSITY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-2720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2025 K ST APT 3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-3853
Country : US
Telephone Number : 619-917-3522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2017
Last Update Date : 09/15/2017

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