Provider Demographics
NPI:1093476327
Name:FLEITES, RAMON DE JESUS (CBHCM)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:DE JESUS
Last Name:FLEITES
Suffix:
Gender:M
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7520 SW 107TH AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2993
Mailing Address - Country:US
Mailing Address - Phone:786-326-2227
Mailing Address - Fax:
Practice Address - Street 1:7520 SW 107TH AVE APT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2993
Practice Address - Country:US
Practice Address - Phone:786-326-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator