Provider Demographics
NPI:1083502934
Name:RAMOS REXACH, NASHALI
Entity type:Individual
Prefix:
First Name:NASHALI
Middle Name:
Last Name:RAMOS REXACH
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 1:163 CALLE AMPARO
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-4727
Mailing Address - Country:US
Mailing Address - Phone:787-373-0446
Mailing Address - Fax:
Practice Address - Street 1:163 CALLE AMPARO
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-4727
Practice Address - Country:US
Practice Address - Phone:787-373-0446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8513103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling