Healthcare Provider Details

I. General information

NPI: 1265444137
Provider Name (Legal Business Name): HECTOR MANUEL RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HECTOR MANUEL RAMOS MD

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 SHAW AVE
CLOVIS CA
93611-4192
US

IV. Provider business mailing address

1303 E HERNDON AVE STE 850
FRESNO CA
93720-3309
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-5880
  • Fax: 559-450-5881
Mailing address:
  • Phone: 559-450-5756
  • Fax: 559-450-7470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA72058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: