Provider Demographics
NPI:1386180743
Name:PADILLA RAMIREZ, NATALIE JANICE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:JANICE
Last Name:PADILLA RAMIREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CALLE NEVADA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3306
Mailing Address - Country:US
Mailing Address - Phone:787-951-2176
Mailing Address - Fax:
Practice Address - Street 1:1452 AVENIDA ASHFORD STE 412
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1563
Practice Address - Country:US
Practice Address - Phone:787-951-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5701103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling