Provider Demographics
NPI:1679398028
Name:GUZMAN RAMOS, ALDO ELIUD
Entity type:Individual
Prefix:
First Name:ALDO
Middle Name:ELIUD
Last Name:GUZMAN RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 WILLACY AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4018
Mailing Address - Country:US
Mailing Address - Phone:956-406-4887
Mailing Address - Fax:
Practice Address - Street 1:126 WILLACY AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4018
Practice Address - Country:US
Practice Address - Phone:956-406-4887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician