Provider Demographics
NPI:1407969652
Name:CHAVEZ RAMOS, MARIA ELIZABETH (PHD, LCP)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELIZABETH
Last Name:CHAVEZ RAMOS
Suffix:
Gender:F
Credentials:PHD, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 AV ASHFORD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-509-6144
Mailing Address - Fax:787-292-0521
Practice Address - Street 1:1452 AV ASHFORD
Practice Address - Street 2:SUITE 408
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-509-6144
Practice Address - Fax:787-292-0521
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR557960OtherFHC HEALTH SYSTEMS PROVID
PR101043OtherLA CRUZ AZUL DE PR PROVI
PR57597 CHOtherTRIPLE - S, INC. PROVIDER
PR57597Medicare ID - Type UnspecifiedMEDICARE PROVIDER