Provider Demographics
NPI:1033345129
Name:RAMIREZ, MAURICIO (MFTI)
Entity Type:Individual
Prefix:MR
First Name:MAURICIO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7993 SIERRA AVE STE F
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3330
Mailing Address - Country:US
Mailing Address - Phone:909-822-3533
Mailing Address - Fax:
Practice Address - Street 1:7993 SIERRA AVE STE F
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-3330
Practice Address - Country:US
Practice Address - Phone:909-822-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist