Provider Demographics
NPI:1861244808
Name:RAMOS HERNANDEZ, JAIME J (PA)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:J
Last Name:RAMOS HERNANDEZ
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6960
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9555
Mailing Address - Country:US
Mailing Address - Phone:939-319-7254
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 6960
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-9555
Practice Address - Country:US
Practice Address - Phone:939-319-7254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR711-P.A.363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical