MEDICARE: JIMMY G RAMOS P.A.

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
1	207Q00000X	Family Medicine Physician	PA875	NV

General Provider Information

NPI Number	:	1639135288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIMMY G RAMOS P.A.

Provider Business Mailing Address
First Line	:	2670 N LAS VEGAS BLVD
Second Line	:	SUITE 109
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-5871
Country	:	US
Telephone Number	:	702-399-0604
Fax Number	:	702-399-0607

Provider Business Practice Location Address
First Line	:	2670 N LAS VEGAS BLVD
Second Line	:	SUITE 109
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-5871
Country	:	US
Telephone Number	:	702-399-0604
Fax Number	:	702-399-0607

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	02/26/2021

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Directions to “ JIMMY G RAMOS P.A.” Practice Location

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