Provider Demographics
NPI:1679942593
Name:RAMOS, FRANCISCO RAFAEL JR
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:RAFAEL
Last Name:RAMOS
Suffix:JR
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 1:49 TIBBETT CIR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-8910
Mailing Address - Country:US
Mailing Address - Phone:978-855-6934
Mailing Address - Fax:
Practice Address - Street 1:49 TIBBETT CIR
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8910
Practice Address - Country:US
Practice Address - Phone:978-855-6934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPT8829247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other