Desi Ramos

Individual provider Active NPI Speech-Language Assistant · Roma, TX

NPI 1285137489 · NPPES record last updated Mar 14, 2018

Key facts

NPI
1285137489
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
36902 (TX)
Practice address
700 E Bravo Blvd Ste D
Roma, TX 78584-5741
Phone
(956) 849-1818
Fax
(956) 849-1822
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
36902TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Durable Medical Equipment & Supplies LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 36902 TX Yes

Addresses

Primary practice location

700 E Bravo Blvd Ste D
Roma, TX 78584-5741

Mailing address

700 E Bravo Blvd Ste D
Roma, TX 78584-5741
Phone (956) 849-1818

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 14, 2018.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1285137489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BRAVO BLVD STE D",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845741",
            "telephone_number": "956-849-1818",
            "fax_number": "956-849-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BRAVO BLVD STE D",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845741",
            "telephone_number": "956-849-1818",
            "fax_number": "956-849-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "DESI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "36902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roma, TX

All providers in Roma, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.