Provider Demographics
NPI:1073380986
Name:DIAZ RAMOS, JAVIER (DR)
Entity Type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:DIAZ RAMOS
Suffix:
Gender:M
Credentials:DR
Other - Prefix:DR
Other - First Name:JAVIER
Other - Middle Name:
Other - Last Name:DIAZ RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR
Mailing Address - Street 1:5440 CARAMELLA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8275
Mailing Address - Country:US
Mailing Address - Phone:689-255-3716
Mailing Address - Fax:
Practice Address - Street 1:7726 WINEGARD RD STE 53
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7147
Practice Address - Country:US
Practice Address - Phone:407-902-5278
Practice Address - Fax:407-641-2980
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health