Provider Demographics
NPI:1346734167
Name:RAMOS, YAMILIS MIRAIDA (LPC)
Entity Type:Individual
Prefix:
First Name:YAMILIS
Middle Name:MIRAIDA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 CALLE JOSE DE JOSSIEU
Mailing Address - Street 2:EL COMANDANTE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3515
Mailing Address - Country:US
Mailing Address - Phone:787-365-5262
Mailing Address - Fax:
Practice Address - Street 1:90 CALLE ANTONIO JIMENEZ LANDRAU
Practice Address - Street 2:1ER NIVEL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-944-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4282101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty