Healthcare Provider Details

I. General information

NPI: 1639082555
Provider Name (Legal Business Name): JOHNNY RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 41ST ST STE 200
DORAL FL
33166-6204
US

IV. Provider business mailing address

PO BOX 297883
PEMBROKE PINES FL
33029-7883
US

V. Phone/Fax

Practice location:
  • Phone: 786-774-7729
  • Fax:
Mailing address:
  • Phone: 786-774-7729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: