Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT01194 | RI |
N | 2251N0400X | Physical Therapist - Neurology | PT01194 | RI |
NPI | 1578996971 |
---|---|
Provider Name | Nicandro S Ramos Jr |
First Address | Providence, RI 02906-3823 |
Second Address | Providence, RI 02907-1460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2013 |
Last Update Date | 21/08/2013 |