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NPI Code Detail

MEDICARE: DR. HECTOR MANUEL RAMOS MD

MEDICARE: DR. HECTOR MANUEL RAMOS MD
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
1207Q00000XFamily Medicine PhysicianA72058CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A72058OTHERCASTATE ID

General Provider Information

NPI Number : 1265444137
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR MANUEL RAMOS MD
Provider Business Mailing Address
First Line : 1303 E HERNDON AVE STE 850
Second Line :
City : FRESNO
State : CA
Zip : 93720-3309
Country : US
Telephone Number : 559-450-5756
Fax Number : 559-450-7470
Provider Business Practice Location Address
First Line : 2006 SHAW AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-4192
Country : US
Telephone Number : 559-450-5880
Fax Number : 559-450-5881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/17/2019

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