Individual
MR. OTILIO RAMOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1239 CEDAR RD, CHESAPEAKE, VA 23322-7103
(757) 549-9935
(757) 446-5196
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011482P
SENTARA OPTIMA
VA
05
—
1558330845
—
VA
Enumeration date
03/17/2006
Last updated
03/14/2022
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