Healthcare Provider Details

I. General information

NPI: 1750296570
Provider Name (Legal Business Name): EDUARDO RAMOS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4416 E BONANZA RD UNIT 120
LAS VEGAS NV
89110-6349
US

IV. Provider business mailing address

4416 E BONANZA RD UNIT 120
LAS VEGAS NV
89110-6349
US

V. Phone/Fax

Practice location:
  • Phone: 702-202-1050
  • Fax: 702-447-8330
Mailing address:
  • Phone: 702-202-1050
  • Fax: 702-447-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: EDUARDO RAMOS JR.
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 973-722-0246