Provider Demographics
NPI:1487256327
Name:RAMOS, SANTIAGO JR (FNP)
Entity type:Individual
Prefix:
First Name:SANTIAGO
Middle Name:
Last Name:RAMOS
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 RIDGELINE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3812
Mailing Address - Country:US
Mailing Address - Phone:956-266-6894
Mailing Address - Fax:
Practice Address - Street 1:1213 E ALTON GLOOR BLVD STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3906
Practice Address - Country:US
Practice Address - Phone:956-621-3167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily