Provider Demographics
NPI:1043595481
Name:RAMALLOSA, MARIBEL RUBIA (MA)
Entity Type:Individual
Prefix:MISS
First Name:MARIBEL
Middle Name:RUBIA
Last Name:RAMALLOSA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N ORLANDO AVE STE 313-186
Mailing Address - Street 2:313-186
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7310
Mailing Address - Country:US
Mailing Address - Phone:866-898-9017
Mailing Address - Fax:
Practice Address - Street 1:501 N ORLANDO AVE STE 313-186
Practice Address - Street 2:313-186
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7310
Practice Address - Country:US
Practice Address - Phone:866-898-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 5494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist