Provider Demographics
NPI:1316746464
Name:NICOLAS RAMIREZ, JOSE ANTONIO (2505-PA)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANTONIO
Last Name:NICOLAS RAMIREZ
Suffix:
Gender:
Credentials:2505-PA
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Mailing Address - Street 1:535 BROCKWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-4825
Mailing Address - Country:US
Mailing Address - Phone:724-856-5721
Mailing Address - Fax:
Practice Address - Street 1:CARR 119 KM 5.7
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:178-782-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR2505-P.A.363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant