Over his thirteen-year professional career, Ramos played as a midfielder in Spain, Mexico, and the United States.

His father played professional soccer in Uruguay with CA River Plate and instilled a love for the game into Tab from an early age.

In 1984 the New York Cosmos of the North American Soccer League drafted Ramos with the 10th pick of the first round but he chose to go to college instead.

He was tied with Bruce Murray for the Atlantic Coast Conference scoring title his senior year.

He finally graduated in 2001 with a Bachelor of Arts in Foreign Language (Spanish) and Literature after taking years of correspondence courses.

Following the World Cup, USSF began seeking club opportunities for the national team players.

[10] His excellent play continued during his second year with the Figueres, bringing considerable attention from several Primera División clubs.

[12] In the 1993–1994 season Real Betis won Segunda División and earned promotion to La Liga.

[13] The league had intended to begin play in the fall of 1995 but difficulties forced it to delay its start for a year.

MLS sent Ramos to the Liga MX side México Primera División Tigres for the second half of the 1994–1995 season.

Unfortunately, his flashes of brilliance were interrupted by long injury spells, as he never lived up to his potential in a MetroStars jersey.

After playing for the United States in the 1990 FIFA World Cup, he was named U.S. Soccer Athlete of the Year in 1990.

Ramos is one of the most accomplished figures in U.S. Soccer history qualifying for the fourth World Cup as U-20 MNT head coach in 2019.

The team qualified for the 2013 FIFA U-20 World Cup, however they failed to make it out of the group stage, finishing bottom with 1 point.

[20] He won the 2017 CONCACAF U-20 Championship with the United States, with assistant coaches Omid Namazi and Brad Friedel.

[23] Ultimately Serbia won the championship beating Brazil 2–1 in the final of the FIFA Under-20 World Cup in Auckland [24] On March 31, 2014, Ramos was appointed to the assistant coach position of the United States men's national soccer team by head coach Jürgen Klinsmann, less than three months before the 2014 World Cup, replacing Martín Vásquez.

[25] On October 25, 2019, Ramos was named head coach of Major League Soccer club Houston Dynamo.

[26] Ramos was named head coach of USL Championship club Hartford Athletic on August 22, 2022.

[27] Ramos lives in Colts Neck, New Jersey, with his girlfriend Tracey and three children, Alex, Kristen, and Sarah.