Healthcare Provider Details

I. General information

NPI: 1306020359
Provider Name (Legal Business Name): FELIPSON ZABALA RAMOS JR. APA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 5142 BOX 18TH
APO AP
96368-5142
US

IV. Provider business mailing address

UNIT 5142 BOX 18TH
APO AP
96368-5142
US

V. Phone/Fax

Practice location:
  • Phone: 315-630-9991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number60118135
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: