Provider Demographics
NPI:1003570722
Name:SANTOS RAMIREZ, FLORA
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:SANTOS RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22027 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2447
Mailing Address - Country:US
Mailing Address - Phone:917-477-9995
Mailing Address - Fax:
Practice Address - Street 1:22027 43RD AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2447
Practice Address - Country:US
Practice Address - Phone:917-477-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty