MEDICARE: HECTOR RAMOS MENDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist
2	111N00000X	Chiropractor	CH10745	FL

General Provider Information

NPI Number	:	1063423713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR RAMOS MENDEZ

Provider Business Mailing Address
First Line	:	214 E NEW YORK AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-5413
Country	:	US
Telephone Number	:	386-279-7533
Fax Number	:	386-279-7533

Provider Business Practice Location Address
First Line	:	214 E NEW YORK AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-5413
Country	:	US
Telephone Number	:	386-279-7533
Fax Number	:	386-279-7533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	12/12/2013

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Directions to “ HECTOR RAMOS MENDEZ ” Practice Location

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