MEDICARE: ERICA RUTH RAMOS M.S., C.G.C.

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1598749046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA RUTH RAMOS M.S., C.G.C.

Provider Business Mailing Address
First Line	:	5495 S RAINBOW BLVD
Second Line	:	STE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1871
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5495 S RAINBOW BLVD
Second Line	:	STE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1871
Country	:	US
Telephone Number	:	702-214-9739
Fax Number	:

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	07/08/2007

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