Provider Demographics
NPI:1194122176
Name:RAMOS, YAMIL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:YAMIL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 N ZARAGOZA RD STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8028
Mailing Address - Country:US
Mailing Address - Phone:915-855-6466
Mailing Address - Fax:915-855-6181
Practice Address - Street 1:1779 N ZARAGOZA RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8028
Practice Address - Country:US
Practice Address - Phone:915-855-6466
Practice Address - Fax:915-855-6181
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1252222225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist