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NPI Code Detail

MEDICARE: ALAN RAMOS NP

MEDICARE: ALAN RAMOS NP
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
1363L00000XNurse Practitioner371484CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00382690OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679636112
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN RAMOS NP
Provider Business Mailing Address
First Line : 222 W 39TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4364
Country : US
Telephone Number : 650-573-2222
Fax Number :
Provider Business Practice Location Address
First Line : 3150 LENOX PARK BLVD
Second Line : SUITE 214
City : MEMPHIS
State : TN
Zip : 38115-4299
Country : US
Telephone Number : 901-273-2368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 06/23/2008

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