Individual provider Active NPI

Antonio Ramos, LSA

  • Surgery Physician
  • Canutillo, TX
National Provider Identifier
1326528183
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
SA00671TX Issued in TX
Practice address
7050 Doniphan Dr Unit 1754
Canutillo, TX 79835-8068
Phone
(915) 449-1209
Fax
(915) 532-0012
NPI assigned
Aug 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X SA00671TX TX Primary

Addresses

Primary practice location

7050 Doniphan Dr Unit 1754
Canutillo, TX 79835-8068

Mailing address

7050 Doniphan Dr Unit 1754
Canutillo, TX 79835-8068
Phone (915) 449-1209

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA00671TXTXMDSurgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1326528183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 DONIPHAN DR UNIT 1754",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798358068",
            "telephone_number": "915-449-1209",
            "fax_number": "915-532-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 DONIPHAN DR UNIT 1754",
            "city": "CANUTILLO",
            "state": "TX",
            "postal_code": "798358068",
            "telephone_number": "915-449-1209",
            "fax_number": "915-532-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANTONIO",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "SA00671TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canutillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.