Provider Demographics
NPI:1215249404
Name:PASION, RAMCES SANTIAGO
Entity type:Individual
Prefix:MR
First Name:RAMCES
Middle Name:SANTIAGO
Last Name:PASION
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 S 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-3404
Mailing Address - Country:US
Mailing Address - Phone:863-773-6812
Mailing Address - Fax:
Practice Address - Street 1:401 ORANGE PL
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3417
Practice Address - Country:US
Practice Address - Phone:863-773-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25172225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist