Healthcare Provider Details

I. General information

NPI: 1619158409
Provider Name (Legal Business Name): RAMOS PROSTHETICS & PEDORTHICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8519 CALLAGHAN RD
SAN ANTONIO TX
78230-4948
US

IV. Provider business mailing address

8519 CALLAGHAN RD
SAN ANTONIO TX
78230-4948
US

V. Phone/Fax

Practice location:
  • Phone: 210-928-2000
  • Fax: 210-928-2001
Mailing address:
  • Phone: 210-928-2000
  • Fax: 210-928-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. RICARDO MORALES RAMOS
Title or Position: OWNER/PRESIDENT
Credential: LP CP CPED
Phone: 210-928-2000