=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851256028
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA RAMOS PA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2025
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11321 MABELVALE WEST ROAD
-----------------------------------------------------
City | MABELVALE
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-202-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5009 GEYER SPRINGS RD
-----------------------------------------------------
City | LITTLE ROCK
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72209-1564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-707-8661
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------