Provider Demographics
NPI:1083035596
Name:CONTRERAS REAL, RAMONA YULIETA
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:YULIETA
Last Name:CONTRERAS REAL
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 1:247 PARKVIEW AVE APT 1J
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1323
Mailing Address - Country:US
Mailing Address - Phone:914-361-1116
Mailing Address - Fax:
Practice Address - Street 1:247 PARKVIEW AVE APT 1J
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1323
Practice Address - Country:US
Practice Address - Phone:914-361-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator