Healthcare Provider Details

I. General information

NPI: 1033797741
Provider Name (Legal Business Name): PEDRO R RAMOS RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 SW 149TH PASS
MIAMI FL
33185-5783
US

IV. Provider business mailing address

1740 SW 149TH PASS
MIAMI FL
33185-5783
US

V. Phone/Fax

Practice location:
  • Phone: 305-815-0931
  • Fax:
Mailing address:
  • Phone: 305-815-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13366
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-128630
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: