Provider Demographics
NPI:1104846286
Name:RAMOS, NANCY (MSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:Z10 CALLE 24
Mailing Address - Street 2:URB. INTERAMERICANA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3401
Mailing Address - Country:US
Mailing Address - Phone:787-641-7582
Mailing Address - Fax:787-641-8369
Practice Address - Street 1:Z10 CALLE 24
Practice Address - Street 2:URB. INTERAMERICANA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-3401
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-8369
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical