Healthcare Provider Details

I. General information

NPI: 1851256028
Provider Name (Legal Business Name): MONICA RAMOS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11321 INTERSTATE 30 FRONTAGE ROAD SUITE 100
LITTLE ROCK AR
72209-7042
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-7535
  • Fax: 501-227-2098
Mailing address:
  • Phone: 501-202-7535
  • Fax: 501-227-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1468
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: