Basic Information
| Provider Information | |||||||||
| NPI: | 1477175354 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMOS | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 570 NE 61ST CT | ||||||||
| Address2: | |||||||||
| City: | OAKLAND PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333341940 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547984410 | ||||||||
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| Practice Location | |||||||||
| Address1: | 819 S 13TH ST | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982744112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3608146230 | ||||||||
| FaxNumber: | 3608146240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2020 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | ML61158179 | WA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.