Provider Demographics
NPI:1306617212
Name:RAMOS, DINA (RN, LMT)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9713 COUNTY ROAD 1214
Mailing Address - Street 2:
Mailing Address - City:TAFT
Mailing Address - State:TX
Mailing Address - Zip Code:78390-4415
Mailing Address - Country:US
Mailing Address - Phone:361-443-4044
Mailing Address - Fax:
Practice Address - Street 1:4220 S PADRE ISLAND DR STE A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4428
Practice Address - Country:US
Practice Address - Phone:361-462-1867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX139032225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist