Provider Demographics
NPI:1376191668
Name:GRACIA RAMOS, SHEILA MARY (MASTER SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARY
Last Name:GRACIA RAMOS
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 795
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0795
Mailing Address - Country:US
Mailing Address - Phone:787-464-0047
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN RAFAEL #222 BO LA SALUD
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-464-0047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR133041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical